Colleen Threse Fahrenbach in Lansing - General Practice

Colleen Threse Fahrenbach - NPI 1538148028

Colleen Threse Fahrenbach is a General Practice in Lansing, Michigan. Colleen Threse Fahrenbach practices all healthcare services and medical treatments related to General Practice. The NPI Number for Colleen Threse Fahrenbach is 1538148028. The last update date is 2007-07-08.

Colleen Threse Fahrenbach's current location address is 1500 W Saginaw St, Lansing, Michigan. You can contact this provider via phone number 5174858615 and fax number 5174850169. The mailing address for Colleen Threse Fahrenbach is 1500 W Saginaw St, Lansing, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Colleen Threse Fahrenbach
Address 1500 W Saginaw St, Lansing, Michigan
Phone Number 5174858615
Fax Number 5174850169
Sole Proprietor X
Credentials DDS

NPI Number Detail

NPI Number 1538148028
Provider Enumeration Date 2006-01-12
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1500 W Saginaw St
City Lansing
State Michigan (MI)
Post Code 489151380
Phone Number 5174858615
Fax Number 5174850169

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 15029
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2712072 MI --
732955 MI UNITED CONCORDIA

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FAQs about Colleen Threse Fahrenbach

What is the unique identification code assigned to Colleen Threse Fahrenbach by the Centers for Medicare & Medicaid Services?

The Colleen Threse Fahrenbach has been issued the NPI (National Provider Identifier) 1538148028. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Colleen Threse Fahrenbach is physically located?

The Colleen Threse Fahrenbach is physically situated at the following address: 1500 W Saginaw St, Lansing, MI, 489151380.

What is Colleen Threse Fahrenbach's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Colleen Threse Fahrenbach is General Practice, and the taxonomy code that categorizes this field of expertise is 1223G0001X.

When did Colleen Threse Fahrenbach receive its 1538148028 assignment?

The Colleen Threse Fahrenbach was assigned its 1538148028 on 2006-01-12, which is the date when this unique identifier was issued to the organization.

As of what date was the information regarding Colleen Threse Fahrenbach, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Colleen Threse Fahrenbach, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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