Nicole C Fishback in Round Lake Beach - Dental Hygienist
Nicole C Fishback - NPI 1295997278
Nicole C Fishback is a Dental Hygienist in Round Lake Beach, Illinois. Nicole C Fishback practices all healthcare services and medical treatments related to Dental Hygienist. The NPI Number for Nicole C Fishback is 1295997278. The last update date is 2008-06-30.
Nicole C Fishback's current location address is 305 E Rollins Rd, Round Lake Beach, Illinois. You can contact this provider via phone number 8475462900 and fax number 8475466603. The mailing address for Nicole C Fishback is 305 E Rollins Rd, Round Lake Beach, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Nicole C Fishback |
|---|---|
| Address | 305 E Rollins Rd, Round Lake Beach, Illinois |
| Phone Number | 8475462900 |
| Fax Number | 8475466603 |
| Sole Proprietor | N |
| Credentials | RDH |
NPI Number Detail
| NPI Number | 1295997278 |
|---|---|
| Provider Enumeration Date | 2008-06-30 |
| Last Updated Date | 2008-06-30 |
Provider Mailing Address Detail
| Address | 305 E Rollins Rd |
|---|---|
| City | Round Lake Beach |
| State | Illinois (IL) |
| Post Code | 600731331 |
| Phone Number | 8475462900 |
| Fax Number | 8475466603 |
Provider's Primary Taxonomy Detail
| Speciality | Dental Hygienist |
|---|---|
| Taxonomy | 124Q00000X |
| Licence No | 20012488 |
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Definition: An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be |
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Post Comment/ Review Below
What is the unique identifier code issued to Nicole C Fishback by the Centers for Medicare & Medicaid Services (CMS)?
The Nicole C Fishback has been assigned the NPI (National Provider Identifier) 1295997278. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Nicole C Fishback's facilities are geographically located?
The facilities of Nicole C Fishback are physically situated at the following location: 305 E Rollins Rd, Round Lake Beach, IL, 600731331.
What is the Nicole C Fishback's area of specialization and corresponding taxonomy classification?
The Nicole C Fishback's specialty field is Dental Hygienist, and it falls under the taxonomy code 124Q00000X, which categorizes healthcare providers based on their specialties.
On what date did Nicole C Fishback receive its 1295997278 assignment from the Centers for Medicare & Medicaid Services?
The Nicole C Fishback was assigned its 1295997278 on 2008-06-30, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Nicole C Fishback last refreshed?
The information related to the Nicole C Fishback, including its address, specialty, and other relevant details, was last updated on 2008-06-30.
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