Gregg L Massanelli in El Dorado - Specialist
Gregg L Massanelli - NPI 1538156492
Gregg L Massanelli is a Specialist in El Dorado, Arkansas. Gregg L Massanelli practices all healthcare services and medical treatments related to Specialist. The NPI Number for Gregg L Massanelli is 1538156492. The last update date is 2008-11-26.
Gregg L Massanelli's current location address is Po Box 10730, El Dorado, Arkansas. You can contact this provider via phone number 8708621144 and fax number 8708640782. The mailing address for Gregg L Massanelli is Po Box 10730, El Dorado, Arkansas. To know further, please read the information below!
Provider Profile Detail
Provider Name | Gregg L Massanelli |
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Address | Po Box 10730, El Dorado, Arkansas |
Phone Number | 8708621144 |
Fax Number | 8708640782 |
Sole Proprietor | N |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1538156492 |
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Provider Enumeration Date | 2005-10-05 |
Last Updated Date | 2008-11-26 |
Provider Mailing Address Detail
Address | Po Box 10730 |
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City | El Dorado |
State | Arkansas (AR) |
Post Code | 717300028 |
Phone Number | 8708621144 |
Fax Number | 8708640782 |
Provider's Primary Taxonomy Detail
Speciality | Specialist |
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Taxonomy | 174400000X |
Licence No | C8449 |
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
424120002 | AR | DMEPOS | |
132799001 | AR | -- | |
200042894 | AR | UNITED /RAILROAD MEDICARE | |
17802000000 | AR | QUALCHOICE |
Post Comment/ Review Below
What is the unique identifier code issued to Gregg L Massanelli by the Centers for Medicare & Medicaid Services?
The Gregg L Massanelli has been assigned the NPI (National Provider Identifier) 1538156492. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Gregg L Massanelli?
The Gregg L Massanelli is physically situated at Po Box 10730, in the city of El Dorado, state of AR, with the postal code 717300028.
What is the Gregg L Massanelli's specialty and taxonomy code?
The Gregg L Massanelli's specialty is Specialist, and the corresponding taxonomy code is 174400000X.
On what date did the Gregg L Massanelli receive its 1538156492 assignment from the Centers for Medicare & Medicaid Services?
The Gregg L Massanelli was assigned its 1538156492 by the Centers for Medicare & Medicaid Services on 2005-10-05.
When was the information regarding Gregg L Massanelli most recently updated?
The details pertaining to the Gregg L Massanelli, including its address, specialty, and other relevant information, were last refreshed on 2008-11-26.