Diane M Moga-Roach in Appleton - Professional
Diane M Moga-Roach - NPI 1700923471
Diane M Moga-Roach is a Professional in Appleton, Wisconsin. Diane M Moga-Roach practices all healthcare services and medical treatments related to Professional. The NPI Number for Diane M Moga-Roach is 1700923471. The last update date is 2007-07-08.
Diane M Moga-Roach's current location address is W5488 Quarry Rd, Appleton, Wisconsin. You can contact this provider via phone number 9207392212. The mailing address for Diane M Moga-Roach is W5488 Quarry Rd, Appleton, Wisconsin. To know further, please read the information below!
Provider Profile Detail
Provider Name | Diane M Moga-Roach |
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Address | W5488 Quarry Rd, Appleton, Wisconsin |
Phone Number | 9207392212 |
Fax Number | |
Sole Proprietor | N |
Credentials | MSE, LCSW, |
NPI Number Detail
NPI Number | 1700923471 |
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Provider Enumeration Date | 2007-01-31 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | W5488 Quarry Rd |
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City | Appleton |
State | Wisconsin (WI) |
Post Code | 549139790 |
Phone Number | 9207392212 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Professional |
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Taxonomy | 101Yp2500X |
Licence No | 1849-125 |
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 |
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39742500 | WI | -- |
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What is the Diane M Moga-Roach's 1700923471?
The Diane M Moga-Roach's NPI (National Provider Identifier) Number is 1700923471. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Diane M Moga-Roach?
The Diane M Moga-Roach is situated at W5488 Quarry Rd, in the city of Appleton, state of WI, with the zip code 549139790.
What is Diane M Moga-Roach's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Diane M Moga-Roach is Professional, and the taxonomy classification code that categorizes this area of expertise is 101Yp2500X.
On what date did the Centers for Medicare & Medicaid Services issue the 1700923471 to Diane M Moga-Roach?
The Diane M Moga-Roach received its 1700923471 assignment from the Centers for Medicare & Medicaid Services on 2007-01-31.
As of what date were the Diane M Moga-Roach's details last updated?
The information pertaining to the Diane M Moga-Roach, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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