Rhonda Gipson-Willis in Mishawaka - Clinical
Rhonda Gipson-Willis - NPI 1497705180
Rhonda Gipson-Willis is a Clinical in Mishawaka, Indiana. Rhonda Gipson-Willis practices all healthcare services and medical treatments related to Clinical. The NPI Number for Rhonda Gipson-Willis is 1497705180. The last update date is 2007-07-08.
Rhonda Gipson-Willis's current location address is 323 W 4th St, Mishawaka, Indiana. You can contact this provider via phone number 5742567006 and fax number 5742562266. The mailing address for Rhonda Gipson-Willis is 323 W 4th St, Mishawaka, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Rhonda Gipson-Willis |
|---|---|
| Address | 323 W 4th St, Mishawaka, Indiana |
| Phone Number | 5742567006 |
| Fax Number | 5742562266 |
| Sole Proprietor | X |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1497705180 |
|---|---|
| Provider Enumeration Date | 2006-05-11 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 323 W 4th St |
|---|---|
| City | Mishawaka |
| State | Indiana (IN) |
| Post Code | 465441913 |
| Phone Number | 5742567006 |
| Fax Number | 5742562266 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 34004634A |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Rhonda Gipson-Willis?
The Rhonda Gipson-Willis has been issued the NPI (National Provider Identifier) 1497705180 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 Rhonda Gipson-Willis?
The Rhonda Gipson-Willis is situated at 323 W 4Th St, in the city of Mishawaka, state of IN, with the zip code 465441913.
What is Rhonda Gipson-Willis's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Rhonda Gipson-Willis's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.
On what date did the Rhonda Gipson-Willis receive its 1497705180 assignment from the Centers for Medicare & Medicaid Services?
The Rhonda Gipson-Willis was assigned its 1497705180 by the Centers for Medicare & Medicaid Services on 2006-05-11.
As of what date was the information pertaining to Rhonda Gipson-Willis, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Rhonda Gipson-Willis, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.