Catherine N Periolat in Fort Wayne - General Practice
Catherine N Periolat - NPI 1679762918
Catherine N Periolat is a General Practice in Fort Wayne, Indiana. Catherine N Periolat practices all healthcare services and medical treatments related to General Practice. The NPI Number for Catherine N Periolat is 1679762918. The last update date is 2007-10-23.
Catherine N Periolat's current location address is 4626 W Jefferson Blvd, Fort Wayne, Indiana. You can contact this provider via phone number 2604320561 and fax number 2604364626. The mailing address for Catherine N Periolat is 4626 W Jefferson Blvd, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Catherine N Periolat |
|---|---|
| Address | 4626 W Jefferson Blvd, Fort Wayne, Indiana |
| Phone Number | 2604320561 |
| Fax Number | 2604364626 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1679762918 |
|---|---|
| Provider Enumeration Date | 2007-10-23 |
| Last Updated Date | 2007-10-23 |
Provider Mailing Address Detail
| Address | 4626 W Jefferson Blvd |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 468046897 |
| Phone Number | 2604320561 |
| Fax Number | 2604364626 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 9882 |
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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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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Catherine N Periolat by the Centers for Medicare & Medicaid Services?
The Catherine N Periolat has been issued the NPI (National Provider Identifier) 1679762918, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Catherine N Periolat's facilities are situated?
The facilities of Catherine N Periolat are physically located at the following address: 4626 W Jefferson Blvd, Fort Wayne, IN, 468046897.
What is Catherine N Periolat's area of expertise and its corresponding taxonomy classification?
The Catherine N Periolat's field of specialization is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1679762918 to Catherine N Periolat?
The Catherine N Periolat received its 1679762918 assignment from the Centers for Medicare & Medicaid Services on 2007-10-23.
As of what date was the information regarding Catherine N Periolat, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Catherine N Periolat, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-10-23.