Gary Komp is a Social Worker in Shawano, Wisconsin. Gary Komp practices all healthcare services and medical treatments related to Social Worker. The NPI Number for Gary Komp is 1164688412. The last update date is 2008-08-05.
Gary Komp's current location address is 504 Lakeland Rd, Shawano, Wisconsin. You can contact this provider via phone number 7155265547 and fax number 5175265542. The mailing address for Gary Komp is 504 Lakeland Rd, Shawano, Wisconsin. To know further, please read the information below!
Provider Profile Detail
Provider Name | Gary Komp |
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Address | 504 Lakeland Rd, Shawano, Wisconsin |
Phone Number | 7155265547 |
Fax Number | 5175265542 |
Sole Proprietor | N |
Credentials | B.S. |
NPI Number Detail
NPI Number | 1164688412 |
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Provider Enumeration Date | 2008-08-05 |
Last Updated Date | 2008-08-05 |
Provider Mailing Address Detail
Address | 504 Lakeland Rd |
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City | Shawano |
State | Wisconsin (WI) |
Post Code | 541663836 |
Phone Number | 7155265547 |
Fax Number | 5175265542 |
Provider's Primary Taxonomy Detail
Speciality | Social Worker |
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Taxonomy | 104100000X |
Definition: A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients an |
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What is the unique 10-digit identifier code assigned to Gary Komp by the Centers for Medicare & Medicaid Services?
The Gary Komp has been issued the NPI (National Provider Identifier) 1164688412 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Gary Komp is located?
The Gary Komp is situated at the following address: 504 Lakeland Rd, Shawano, WI, 541663836.
What is Gary Komp's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Gary Komp is Social Worker, and the taxonomy code that categorizes this field of expertise is 104100000X.
On what date did Gary Komp receive its 1164688412 assignment from the Centers for Medicare & Medicaid Services?
The Gary Komp was assigned its 1164688412 on 2008-08-05, 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 regarding Gary Komp, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Gary Komp, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-08-05.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC