Paul Ethan Wine in Chicago - General Practice
Paul Ethan Wine - NPI 1316093438
Paul Ethan Wine is a General Practice in Chicago, Illinois. Paul Ethan Wine practices all healthcare services and medical treatments related to General Practice. The NPI Number for Paul Ethan Wine is 1316093438. The last update date is 2007-07-08.
Paul Ethan Wine's current location address is 2632 W Division St, Chicago, Illinois. You can contact this provider via phone number 7732350980 and fax number 7732351249. The mailing address for Paul Ethan Wine is 2632 W Division St, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Paul Ethan Wine |
|---|---|
| Address | 2632 W Division St, Chicago, Illinois |
| Phone Number | 7732350980 |
| Fax Number | 7732351249 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1316093438 |
|---|---|
| Provider Enumeration Date | 2007-01-25 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2632 W Division St |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606222850 |
| Phone Number | 7732350980 |
| Fax Number | 7732351249 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
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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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What is the unique provider identifier assigned to Paul Ethan Wine?
The Paul Ethan Wine has been issued the NPI (National Provider Identifier) 1316093438 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Paul Ethan Wine is physically located?
The Paul Ethan Wine is physically situated at the following address: 2632 W Division St, Chicago, IL, 606222850.
What is Paul Ethan Wine's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Paul Ethan Wine is General Practice, and the corresponding taxonomy classification code for this specialized field is 1223G0001X.
On what date did the Paul Ethan Wine receive the assignment of its 1316093438 from the Centers for Medicare & Medicaid Services?
The Paul Ethan Wine was issued its 1316093438 by the Centers for Medicare & Medicaid Services on 2007-01-25.
When was the information regarding Paul Ethan Wine, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Paul Ethan Wine, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.