Rodolfo Pineda Manansala in Antioch - Independent Duty Corpsman
Rodolfo Pineda Manansala - NPI 1184809048
Rodolfo Pineda Manansala is a Independent Duty Corpsman in Antioch, Illinois. Rodolfo Pineda Manansala practices all healthcare services and medical treatments related to Independent Duty Corpsman. The NPI Number for Rodolfo Pineda Manansala is 1184809048. The last update date is 2009-08-27.
Rodolfo Pineda Manansala's current location address is 950 Elfering Ln, Antioch, Illinois. You can contact this provider via phone number 8476883412. The mailing address for Rodolfo Pineda Manansala is 950 Elfering Ln, Antioch, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Rodolfo Pineda Manansala |
|---|---|
| Address | 950 Elfering Ln, Antioch, Illinois |
| Phone Number | 8476883412 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | INDEPENDEN |
NPI Number Detail
| NPI Number | 1184809048 |
|---|---|
| Provider Enumeration Date | 2008-01-09 |
| Last Updated Date | 2009-08-27 |
Provider Mailing Address Detail
| Address | 950 Elfering Ln |
|---|---|
| City | Antioch |
| State | Illinois (IL) |
| Post Code | 600026404 |
| Phone Number | 8476883412 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Independent Duty Corpsman |
|---|---|
| Taxonomy | 1710I1002X |
| Licence No | 1710I1002X |
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Definition: A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a v |
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What is the unique 10-digit identification code issued to Rodolfo Pineda Manansala by the Centers for Medicare & Medicaid Services?
The Rodolfo Pineda Manansala has been assigned the NPI (National Provider Identifier) 1184809048 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Rodolfo Pineda Manansala's physical address?
The Rodolfo Pineda Manansala is physically located at 950 Elfering Ln, in the city of Antioch, IL, with the postal code 600026404.
What is Rodolfo Pineda Manansala's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Rodolfo Pineda Manansala is Independent Duty Corpsman, and the taxonomy code that categorizes this field of expertise is 1710I1002X.
On what date was the 1184809048 assigned to Rodolfo Pineda Manansala?
The Rodolfo Pineda Manansala was issued its 1184809048 on 2008-01-09, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Rodolfo Pineda Manansala most recently updated or revised?
The information pertaining to Rodolfo Pineda Manansala, including its address, specialty, and other relevant details, was last updated or revised on 2009-08-27.
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