Rusty O'Leary is a Professional in Nampa, Idaho. Rusty O'Leary practices all healthcare services and medical treatments related to Professional. The NPI Number for Rusty O'Leary is 1215155973. The last update date is 2007-07-08.
Rusty O'Leary's current location address is 1305 2nd St S, Nampa, Idaho. You can contact this provider via phone number 2084630202 and fax number 2084630205. The mailing address for Rusty O'Leary is 1305 2nd St S, Nampa, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Rusty O'Leary |
|---|---|
| Address | 1305 2nd St S, Nampa, Idaho |
| Phone Number | 2084630202 |
| Fax Number | 2084630205 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1215155973 |
|---|---|
| Provider Enumeration Date | 2007-04-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1305 2nd St S |
|---|---|
| City | Nampa |
| State | Idaho (ID) |
| Post Code | 836513944 |
| Phone Number | 2084630202 |
| Fax Number | 2084630205 |
Provider's Primary Taxonomy Detail
| Speciality | Professional |
|---|---|
| Taxonomy | 101Yp2500X |
| Licence No | LCPC-296 |
|
Definition: A general counselor who helps people with personal, social, educational, and career issues. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| LCPC-296 | ID | ID PROFESSIONAL LICENSE |
Post Comment/ Review Below
What is the unique identifier code issued to Rusty O'Leary by the Centers for Medicare & Medicaid Services (CMS)?
The Rusty O'Leary has been assigned the NPI (National Provider Identifier) 1215155973. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Rusty O'Leary?
The Rusty O'Leary is situated at 1305 2Nd St S, in the city of Nampa, state of ID, with the zip code 836513944.
What is Rusty O'Leary's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Rusty O'Leary is Professional, and the corresponding taxonomy classification code for this specialized field is 101Yp2500X.
On what date did the Centers for Medicare & Medicaid Services assign the 1215155973 to Rusty O'Leary?
The Centers for Medicare & Medicaid Services assigned the 1215155973 to Rusty O'Leary on 2007-04-20.
When was the information related to Rusty O'Leary most recently updated or refreshed?
The details pertaining to the Rusty O'Leary, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
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