G. Van Stosich in Idaho Falls - General Practice
G. Van Stosich - NPI 1336224633
G. Van Stosich is a General Practice in Idaho Falls, Idaho. G. Van Stosich practices all healthcare services and medical treatments related to General Practice. The NPI Number for G. Van Stosich is 1336224633. The last update date is 2023-03-07.
G. Van Stosich's current location address is 1400 E 17th St, Idaho Falls, Idaho. You can contact this provider via phone number 2085228061 and fax number 2085228061. The mailing address for G. Van Stosich is 1400 E 17th St, Idaho Falls, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | G. Van Stosich |
|---|---|
| Address | 1400 E 17th St, Idaho Falls, Idaho |
| Phone Number | 2085228061 |
| Fax Number | 2085228061 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1336224633 |
|---|---|
| Provider Enumeration Date | 2006-10-26 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 1400 E 17th St |
|---|---|
| City | Idaho Falls |
| State | Idaho (ID) |
| Post Code | 834046269 |
| Phone Number | 2085228061 |
| Fax Number | 2085228061 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | D-1730 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6F233 | ID | BLUE CROSS ID | |
| D-1730 | ID | DENTIST LICENSE # |
Post Comment/ Review Below
What is the unique identifier code issued to G. Van Stosich by the Centers for Medicare & Medicaid Services (CMS)?
The G. Van Stosich has been assigned the NPI (National Provider Identifier) 1336224633. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where G. Van Stosich's facilities are situated?
The facilities of G. Van Stosich are physically located at the following address: 1400 E 17Th St, Idaho Falls, ID, 834046269.
What is G. Van Stosich's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for G. Van Stosich is General Practice, and the taxonomy classification code that categorizes this area of expertise is 1223G0001X.
On what date did the G. Van Stosich receive its 1336224633 assignment from the Centers for Medicare & Medicaid Services?
The G. Van Stosich was assigned its 1336224633 by the Centers for Medicare & Medicaid Services on 2006-10-26.
When was the information related to G. Van Stosich most recently updated or refreshed?
The details pertaining to the G. Van Stosich, including its address, specialty, and other relevant information, were last updated or refreshed on 2023-03-07.
NPI Number: 1124025044
Address: 9244 W Atlantic Blvd Apt 1238, Coral Springs, FL