Burdette O Leikvoll in Peoria - Professional
Burdette O Leikvoll - NPI 1679698005
Burdette O Leikvoll is a Professional in Peoria, Arizona. Burdette O Leikvoll practices all healthcare services and medical treatments related to Professional. The NPI Number for Burdette O Leikvoll is 1679698005. The last update date is 2007-07-08.
Burdette O Leikvoll's current location address is 10559 N 99th Ave, Peoria, Arizona. You can contact this provider via phone number 6239740357 and fax number 6239740399. The mailing address for Burdette O Leikvoll is 10559 N 99th Ave, Peoria, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Burdette O Leikvoll |
|---|---|
| Address | 10559 N 99th Ave, Peoria, Arizona |
| Phone Number | 6239740357 |
| Fax Number | 6239740399 |
| Sole Proprietor | Y |
| Credentials | LPC |
NPI Number Detail
| NPI Number | 1679698005 |
|---|---|
| Provider Enumeration Date | 2007-03-21 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 10559 N 99th Ave |
|---|---|
| City | Peoria |
| State | Arizona (AZ) |
| Post Code | 853455413 |
| Phone Number | 6239740357 |
| Fax Number | 6239740399 |
Provider's Primary Taxonomy Detail
| Speciality | Professional |
|---|---|
| Taxonomy | 101Yp2500X |
| Licence No | LPC0331 |
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Definition: A general counselor who helps people with personal, social, educational, and career issues. |
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What is the unique identifier code issued to Burdette O Leikvoll by the Centers for Medicare & Medicaid Services (CMS)?
The Burdette O Leikvoll has been assigned the NPI (National Provider Identifier) 1679698005. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Burdette O Leikvoll is physically located?
The Burdette O Leikvoll is situated at the following address: 10559 N 99Th Ave, Peoria, AZ 853455413.
What is the Burdette O Leikvoll's area of specialization and corresponding taxonomy classification?
The Burdette O Leikvoll's specialty field is Professional, and it falls under the taxonomy code 101Yp2500X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1679698005 to Burdette O Leikvoll?
The Burdette O Leikvoll received its 1679698005 assignment from the Centers for Medicare & Medicaid Services on 2007-03-21.
When was the information related to Burdette O Leikvoll most recently updated or refreshed?
The details pertaining to the Burdette O Leikvoll, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
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