Marvin J Gottschall in Cusick - General Practice
Marvin J Gottschall - NPI 1871636555
Marvin J Gottschall is a General Practice in Cusick, Washington. Marvin J Gottschall practices all healthcare services and medical treatments related to General Practice. The NPI Number for Marvin J Gottschall is 1871636555. The last update date is 2011-06-03.
Marvin J Gottschall's current location address is 1821 N Leclerc Rd. #1, Cusick, Washington. You can contact this provider via phone number 5094477111 and fax number 5094451152. The mailing address for Marvin J Gottschall is 1821 N Leclerc Rd. #1, Cusick, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marvin J Gottschall |
|---|---|
| Address | 1821 N Leclerc Rd. #1, Cusick, Washington |
| Phone Number | 5094477111 |
| Fax Number | 5094451152 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1871636555 |
|---|---|
| Provider Enumeration Date | 2007-02-14 |
| Last Updated Date | 2011-06-03 |
Provider Mailing Address Detail
| Address | 1821 N Leclerc Rd. #1 |
|---|---|
| City | Cusick |
| State | Washington (WA) |
| Post Code | 991195015 |
| Phone Number | 5094477111 |
| Fax Number | 5094451152 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | DE00009801 |
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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 |
|---|---|---|---|
| 213060 | WA | LABOR & INDUSTRIES ID # | |
| 5051537 | WA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Marvin J Gottschall by the Centers for Medicare & Medicaid Services?
The Marvin J Gottschall has been issued the NPI (National Provider Identifier) 1871636555 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Marvin J Gottschall's physical address?
The Marvin J Gottschall is physically located at 1821 N Leclerc Rd. #1, in the city of Cusick, WA, with the postal code 991195015.
What is the Marvin J Gottschall's specialty and taxonomy code?
The Marvin J Gottschall's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.
On what date was the 1871636555 assigned to Marvin J Gottschall?
The Marvin J Gottschall was issued its 1871636555 on 2007-02-14, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Marvin J Gottschall, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Marvin J Gottschall, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2011-06-03.
NPI Number: 1518960137
Address: 161 Sherman Dr, St Johnsbury, VT