Randy Joseph Gage in Eau Claire - Health Service
Randy Joseph Gage - NPI 1104004787
Randy Joseph Gage is a Health Service in Eau Claire, Wisconsin. Randy Joseph Gage practices all healthcare services and medical treatments related to Health Service. The NPI Number for Randy Joseph Gage is 1104004787. The last update date is 2013-12-06.
Randy Joseph Gage's current location address is 2925 Mondovi Rd, Eau Claire, Wisconsin. You can contact this provider via phone number 7158320238 and fax number 7158320771. The mailing address for Randy Joseph Gage is 2925 Mondovi Rd, Eau Claire, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Randy Joseph Gage |
|---|---|
| Address | 2925 Mondovi Rd, Eau Claire, Wisconsin |
| Phone Number | 7158320238 |
| Fax Number | 7158320771 |
| Sole Proprietor | N |
| Credentials | PH. D. |
NPI Number Detail
| NPI Number | 1104004787 |
|---|---|
| Provider Enumeration Date | 2008-02-05 |
| Last Updated Date | 2013-12-06 |
Provider Mailing Address Detail
| Address | 2925 Mondovi Rd |
|---|---|
| City | Eau Claire |
| State | Wisconsin (WI) |
| Post Code | 547016141 |
| Phone Number | 7158320238 |
| Fax Number | 7158320771 |
Provider's Primary Taxonomy Detail
| Speciality | Health Service |
|---|---|
| Taxonomy | 103Th0100X |
| Licence No | 2614-057 |
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Definition: A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustm |
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What is the unique 10-digit identification code issued to Randy Joseph Gage by the Centers for Medicare & Medicaid Services?
The Randy Joseph Gage has been assigned the NPI (National Provider Identifier) 1104004787 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Randy Joseph Gage?
The Randy Joseph Gage is situated at 2925 Mondovi Rd, in the city of Eau Claire, state of WI, with the zip code 547016141.
What is the area of specialization for Randy Joseph Gage, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Randy Joseph Gage is Health Service, and the corresponding taxonomy code that categorizes this area of expertise is 103Th0100X.
On what date did Randy Joseph Gage receive its 1104004787 assignment from the Centers for Medicare & Medicaid Services?
The Randy Joseph Gage was assigned its 1104004787 on 2008-02-05, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Randy Joseph Gage, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Randy Joseph Gage, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2013-12-06.
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