Susan Stover is a Specialist in Lake Village, Arkansas. Susan Stover practices all healthcare services and medical treatments related to Specialist. The NPI Number for Susan Stover is 1548484728. The last update date is 2007-07-08.
Susan Stover's current location address is 216 Main St, Lake Village, Arkansas. You can contact this provider via phone number 8702653950 and fax number 8702652525. The mailing address for Susan Stover is 216 Main St, Lake Village, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Stover |
|---|---|
| Address | 216 Main St, Lake Village, Arkansas |
| Phone Number | 8702653950 |
| Fax Number | 8702652525 |
| Sole Proprietor | N |
| Credentials | COTA |
NPI Number Detail
| NPI Number | 1548484728 |
|---|---|
| Provider Enumeration Date | 2007-04-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 216 Main St |
|---|---|
| City | Lake Village |
| State | Arkansas (AR) |
| Post Code | 716531916 |
| Phone Number | 8702653950 |
| Fax Number | 8702652525 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | OTA453 |
|
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. |
|
Post Comment/ Review Below
What is the unique identification code assigned to Susan Stover by the Centers for Medicare & Medicaid Services?
The Susan Stover has been issued the NPI (National Provider Identifier) 1548484728. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Susan Stover is physically located?
The Susan Stover is physically situated at the following address: 216 Main St, Lake Village, AR, 716531916.
What is Susan Stover's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Susan Stover is Specialist, and the taxonomy code that classifies this field of practice is 174400000X.
On what date did Susan Stover receive its 1548484728 assignment from the Centers for Medicare & Medicaid Services?
The Susan Stover was assigned its 1548484728 on 2007-04-12, 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 Susan Stover, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Susan Stover, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.