Joseph Raymond Theisen in Eau Claire - General Practice

Joseph Raymond Theisen - NPI 1558374686

Joseph Raymond Theisen is a General Practice in Eau Claire, Wisconsin. Joseph Raymond Theisen practices all healthcare services and medical treatments related to General Practice. The NPI Number for Joseph Raymond Theisen is 1558374686. The last update date is 2007-07-09.

Joseph Raymond Theisen's current location address is 1102 Regis Ct, Eau Claire, Wisconsin. You can contact this provider via phone number 7158342032 and fax number 7155521552. The mailing address for Joseph Raymond Theisen is 1102 Regis Ct, Eau Claire, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Joseph Raymond Theisen
Address 1102 Regis Ct, Eau Claire, Wisconsin
Phone Number 7158342032
Fax Number 7155521552
Sole Proprietor Y
Credentials D.D.S.

NPI Number Detail

NPI Number 1558374686
Provider Enumeration Date 2006-08-13
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 1102 Regis Ct
City Eau Claire
State Wisconsin (WI)
Post Code 547014404
Phone Number 7158342032
Fax Number 7155521552

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 5000361-015
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
33658100 WI --

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FAQs about Joseph Raymond Theisen

What is the unique 10-digit identifier code assigned to Joseph Raymond Theisen by the Centers for Medicare & Medicaid Services?

The Joseph Raymond Theisen has been issued the NPI (National Provider Identifier) 1558374686 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you share the physical location details of Joseph Raymond Theisen?

The Joseph Raymond Theisen is situated at 1102 Regis Ct, in the city of Eau Claire, state of WI, with the zip code 547014404.

What is Joseph Raymond Theisen's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Joseph Raymond Theisen is General Practice, and the taxonomy code that classifies this field of practice is 1223G0001X.

On what date did the Centers for Medicare & Medicaid Services issue the 1558374686 to Joseph Raymond Theisen?

The Joseph Raymond Theisen received its 1558374686 assignment from the Centers for Medicare & Medicaid Services on 2006-08-13.

When was the information regarding Joseph Raymond Theisen, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Joseph Raymond Theisen, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-09.

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