Henri Renom De La Bau in Fort Belvoir - Military Health Care Provider
Henri Renom De La Bau - NPI 1790769792
Henri Renom De La Bau is a Military Health Care Provider in Fort Belvoir, Virginia. Henri Renom De La Bau practices all healthcare services and medical treatments related to Military Health Care Provider. The NPI Number for Henri Renom De La Bau is 1790769792. The last update date is 2023-09-20.
Henri Renom De La Bau's current location address is 9501 Farrell Road, Fort Belvoir, Virginia. You can contact this provider via phone number 7038050071 and fax number 7038050189. The mailing address for Henri Renom De La Bau is 9501 Farrell Road, Fort Belvoir, Virginia. To know further, please read the information below!
Provider Profile Detail
Provider Name | Henri Renom De La Bau |
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Address | 9501 Farrell Road, Fort Belvoir, Virginia |
Phone Number | 7038050071 |
Fax Number | 7038050189 |
Sole Proprietor | Y |
Credentials | MD |
NPI Number Detail
NPI Number | 1790769792 |
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Provider Enumeration Date | 2005-12-02 |
Last Updated Date | 2023-09-20 |
Provider Mailing Address Detail
Address | 9501 Farrell Road |
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City | Fort Belvoir |
State | Virginia (VA) |
Post Code | 22060 |
Phone Number | 7038050071 |
Fax Number | 7038050189 |
Provider's Primary Taxonomy Detail
Speciality | Military Health Care Provider |
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Taxonomy | 171000000X |
Licence No | D34498 |
Definition: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
P00892039 | IN | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the Henri Renom De La Bau's unique identification number?
The Henri Renom De La Bau has been assigned the NPI (National Provider Identifier) Number 1790769792 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Henri Renom De La Bau?
The Henri Renom De La Bau is situated at 9501 Farrell Road, in the city of Fort Belvoir, state of VA, with the zip code 22060.
What is Henri Renom De La Bau's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Henri Renom De La Bau is Military Health Care Provider, and the taxonomy code that categorizes this field of expertise is 171000000X.
On what date did Henri Renom De La Bau receive its 1790769792 assignment from the Centers for Medicare & Medicaid Services?
The Henri Renom De La Bau was assigned its 1790769792 on 2005-12-02, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Henri Renom De La Bau, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Henri Renom De La Bau, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-09-20.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY