Charmaine A Untiedt in Madison - Military Health Care Provider
Charmaine A Untiedt - NPI 1790865376
Charmaine A Untiedt is a Military Health Care Provider in Madison, Wisconsin. Charmaine A Untiedt practices all healthcare services and medical treatments related to Military Health Care Provider. The NPI Number for Charmaine A Untiedt is 1790865376. The last update date is 2021-01-07.
Charmaine A Untiedt's current location address is 1821 S Stoughton Rd, Madison, Wisconsin. You can contact this provider via phone number 6082606004 and fax number 6082606906. The mailing address for Charmaine A Untiedt is 1821 S Stoughton Rd, Madison, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charmaine A Untiedt |
|---|---|
| Address | 1821 S Stoughton Rd, Madison, Wisconsin |
| Phone Number | 6082606004 |
| Fax Number | 6082606906 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1790865376 |
|---|---|
| Provider Enumeration Date | 2006-10-17 |
| Last Updated Date | 2021-01-07 |
Provider Mailing Address Detail
| Address | 1821 S Stoughton Rd |
|---|---|
| City | Madison |
| State | Wisconsin (WI) |
| Post Code | 537162257 |
| Phone Number | 6082606004 |
| Fax Number | 6082606906 |
Provider's Primary Taxonomy Detail
| Speciality | Military Health Care Provider |
|---|---|
| Taxonomy | 171000000X |
| Licence No | 3330-024 |
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Definition: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |
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What is the Charmaine A Untiedt's unique identification number?
The Charmaine A Untiedt has been assigned the NPI (National Provider Identifier) Number 1790865376 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Charmaine A Untiedt's facilities are situated?
The facilities of Charmaine A Untiedt are physically located at the following address: 1821 S Stoughton Rd, Madison, WI, 537162257.
What is the Charmaine A Untiedt's area of specialization and corresponding taxonomy classification?
The Charmaine A Untiedt's specialty field is Military Health Care Provider, and it falls under the taxonomy code 171000000X, which categorizes healthcare providers based on their specialties.
On what date was the 1790865376 assigned to Charmaine A Untiedt?
The Charmaine A Untiedt was issued its 1790865376 on 2006-10-17, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Charmaine A Untiedt, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Charmaine A Untiedt, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2021-01-07.