Laurie D Berdahl is a Specialist in Greeley, Colorado. Laurie D Berdahl practices all healthcare services and medical treatments related to Specialist. The NPI Number for Laurie D Berdahl is 1194710392. The last update date is 2011-11-30.
Laurie D Berdahl's current location address is 2410 W 16th St, Greeley, Colorado. You can contact this provider via phone number 9703526353 and fax number 9703562264. The mailing address for Laurie D Berdahl is 2410 W 16th St, Greeley, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Laurie D Berdahl |
|---|---|
| Address | 2410 W 16th St, Greeley, Colorado |
| Phone Number | 9703526353 |
| Fax Number | 9703562264 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1194710392 |
|---|---|
| Provider Enumeration Date | 2005-09-13 |
| Last Updated Date | 2011-11-30 |
Provider Mailing Address Detail
| Address | 2410 W 16th St |
|---|---|
| City | Greeley |
| State | Colorado (CO) |
| Post Code | 806346004 |
| Phone Number | 9703526353 |
| Fax Number | 9703562264 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 35412 |
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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. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 10381125 | CO | CAQH | |
| 840592369006 | CO | ROCKY MTN HEALTH | |
| BE41887 | CO | BCBS | |
| 84059236906 | CO | PACIFICARE | |
| 1354125 | CO | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Laurie D Berdahl by the Centers for Medicare & Medicaid Services?
The Laurie D Berdahl has been issued the NPI (National Provider Identifier) 1194710392, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Laurie D Berdahl is located?
The Laurie D Berdahl is situated at the following address: 2410 W 16Th St, Greeley, CO, 806346004.
What is the Laurie D Berdahl's area of specialization and corresponding taxonomy classification?
The Laurie D Berdahl's specialty field is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their specialties.
On what date did the Laurie D Berdahl receive the assignment of its 1194710392 from the Centers for Medicare & Medicaid Services?
The Laurie D Berdahl was issued its 1194710392 by the Centers for Medicare & Medicaid Services on 2005-09-13.
As of what date was the information pertaining to Laurie D Berdahl, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Laurie D Berdahl, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2011-11-30.
NPI Number: 1376546309
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