Gregory Scot Deacon in Grand Rapids - Clinical
Gregory Scot Deacon - NPI 1689740078
Gregory Scot Deacon is a Clinical in Grand Rapids, Michigan. Gregory Scot Deacon practices all healthcare services and medical treatments related to Clinical. The NPI Number for Gregory Scot Deacon is 1689740078. The last update date is 2007-07-08.
Gregory Scot Deacon's current location address is 201 Sheldon Blvd Se, Grand Rapids, Michigan. You can contact this provider via phone number 6164594212 and fax number 6167749022. The mailing address for Gregory Scot Deacon is 201 Sheldon Blvd Se, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gregory Scot Deacon |
|---|---|
| Address | 201 Sheldon Blvd Se, Grand Rapids, Michigan |
| Phone Number | 6164594212 |
| Fax Number | 6167749022 |
| Sole Proprietor | N |
| Credentials | LLP |
NPI Number Detail
| NPI Number | 1689740078 |
|---|---|
| Provider Enumeration Date | 2006-11-28 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 201 Sheldon Blvd Se |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495034513 |
| Phone Number | 6164594212 |
| Fax Number | 6167749022 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 6301010405 |
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What is the unique 10-digit identifier code issued to Gregory Scot Deacon by the Centers for Medicare & Medicaid Services?
The Gregory Scot Deacon has been assigned the NPI (National Provider Identifier) 1689740078 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Gregory Scot Deacon's physical address?
The Gregory Scot Deacon is physically located at 201 Sheldon Blvd Se, in the city of Grand Rapids, MI, with the postal code 495034513.
What is Gregory Scot Deacon's specialized field of practice, and what is the corresponding taxonomy classification code?
The Gregory Scot Deacon's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1689740078 to Gregory Scot Deacon?
The Centers for Medicare & Medicaid Services originally issued the 1689740078 to Gregory Scot Deacon on 2006-11-28.
As of what date were the Gregory Scot Deacon's details last updated?
The information pertaining to the Gregory Scot Deacon, including its address, specialty, and other details, was most recently updated on 2007-07-08.