Whiteside And Daniel, P.A. in Raleigh - Exercise & Sports
Whiteside And Daniel, P.A. - NPI 1669694154
Whiteside And Daniel, P.A. is a Exercise & Sports in Raleigh, North Carolina. Whiteside And Daniel, P.A. practices all healthcare services and medical treatments related to Exercise & Sports. The NPI Number for Whiteside And Daniel, P.A. is 1669694154. The last update date is 2020-08-22.
Whiteside And Daniel, P.A.'s current location address is 4301 Lake Boone Trl, Raleigh, North Carolina. You can contact this provider via phone number 9197838847 and fax number 9197830790. The mailing address for Whiteside And Daniel, P.A. is 4301 Lake Boone Trl, Raleigh, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Whiteside And Daniel, P.A. |
|---|---|
| Address | 4301 Lake Boone Trl, Raleigh, North Carolina |
| Phone Number | 9197838847 |
| Fax Number | 9197830790 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Daniel Anne Sheryll |
| Credentials | PH.D. |
| Telephone Number | 9197838847 |
NPI Number Detail
| NPI Number | 1669694154 |
|---|---|
| Provider Enumeration Date | 2007-05-03 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 4301 Lake Boone Trl |
|---|---|
| City | Raleigh |
| State | North Carolina (NC) |
| Post Code | 276077507 |
| Phone Number | 9197838847 |
| Fax Number | 9197830790 |
Provider's Primary Taxonomy Detail
| Speciality | Exercise & Sports |
|---|---|
| Taxonomy | 103Te1100X |
| Licence No | 1453 |
|
Definition: A psychologist with a proficiency in sports psychology that uses psychological knowledge and skills to address optimal performance and well-being of athletes, developmental and social aspects of sports participation, and systemic issues associated wi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0315K | NC | BLUE CROSS BLUE SHIELD NC | |
| 0489C | NC | BLUE CROSS BLUE SHIELD NC |
Post Comment/ Review Below
What is the unique provider identifier assigned to Whiteside And Daniel, P.A.?
The Whiteside And Daniel, P.A. has been issued the NPI (National Provider Identifier) 1669694154 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Whiteside And Daniel, P.A.?
The Whiteside And Daniel, P.A. is situated at 4301 Lake Boone Trl, in the city of Raleigh, state of NC, with the zip code 276077507.
What is Whiteside And Daniel, P.A.'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 Whiteside And Daniel, P.A. is Exercise & Sports, and the taxonomy classification code that categorizes this area of expertise is 103Te1100X.
When did the Whiteside And Daniel, P.A. receive its 1669694154?
The Whiteside And Daniel, P.A. was issued its 1669694154 on 2007-05-03, which is the date when the organization was assigned this unique identifier.
When was the information related to Whiteside And Daniel, P.A. most recently updated or refreshed?
The details pertaining to the Whiteside And Daniel, P.A., including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.
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