Joel Edward Courtial in Eagle - General Practice

Joel Edward Courtial - NPI 1124193123

Joel Edward Courtial is a General Practice in Eagle, Idaho. Joel Edward Courtial practices all healthcare services and medical treatments related to General Practice. The NPI Number for Joel Edward Courtial is 1124193123. The last update date is 2007-07-08.

Joel Edward Courtial's current location address is 151 Stierman Way, Eagle, Idaho. You can contact this provider via phone number 2089394111 and fax number 2089393822. The mailing address for Joel Edward Courtial is 151 Stierman Way, Eagle, Idaho. To know further, please read the information below!

Provider Profile Detail

Provider Name Joel Edward Courtial
Address 151 Stierman Way, Eagle, Idaho
Phone Number 2089394111
Fax Number 2089393822
Sole Proprietor Y
Credentials DDS

NPI Number Detail

NPI Number 1124193123
Provider Enumeration Date 2006-11-22
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 151 Stierman Way
City Eagle
State Idaho (ID)
Post Code 836165163
Phone Number 2089394111
Fax Number 2089393822

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No D1743
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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FAQs about Joel Edward Courtial

What is the unique 10-digit identification code assigned to Joel Edward Courtial by the Centers for Medicare & Medicaid Services?

The Joel Edward Courtial has been issued the NPI (National Provider Identifier) 1124193123, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Joel Edward Courtial?

The Joel Edward Courtial is physically situated at 151 Stierman Way, in the city of Eagle, state of ID, with the postal code 836165163.

What is the Joel Edward Courtial's area of specialization and corresponding taxonomy classification?

The Joel Edward Courtial's specialty field is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their specialties.

When did the Joel Edward Courtial receive its 1124193123?

The Joel Edward Courtial was issued its 1124193123 on 2006-11-22, which is the date when the organization was assigned this unique identifier.

As of what date was the information pertaining to Joel Edward Courtial, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Joel Edward Courtial, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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