J David Sule is a Specialist in Blackfoot, Idaho. J David Sule practices all healthcare services and medical treatments related to Specialist. The NPI Number for J David Sule is 1437130515. The last update date is 2019-12-20.
J David Sule's current location address is 98 Poplar St, Blackfoot, Idaho. You can contact this provider via phone number 2087584100 and fax number 2087823752. The mailing address for J David Sule is 98 Poplar St, Blackfoot, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | J David Sule |
|---|---|
| Address | 98 Poplar St, Blackfoot, Idaho |
| Phone Number | 2087584100 |
| Fax Number | 2087823752 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1437130515 |
|---|---|
| Provider Enumeration Date | 2005-11-07 |
| Last Updated Date | 2019-12-20 |
Provider Mailing Address Detail
| Address | 98 Poplar St |
|---|---|
| City | Blackfoot |
| State | Idaho (ID) |
| Post Code | 83221 |
| Phone Number | 2087584100 |
| Fax Number | 2087823752 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 42458 |
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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 |
|---|---|---|---|
| 000718891A | GA | -- |
Post Comment/ Review Below
What is the J David Sule's 1437130515?
The J David Sule's NPI (National Provider Identifier) Number is 1437130515. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where J David Sule is located?
The J David Sule is situated at the following address: 98 Poplar St, Blackfoot, ID, 83221.
What is J David Sule's specialized field of practice, and what is the corresponding taxonomy classification code?
The J David Sule's area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.
On what date did J David Sule receive its 1437130515 assignment from the Centers for Medicare & Medicaid Services?
The J David Sule was assigned its 1437130515 on 2005-11-07, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the J David Sule's information last updated?
The J David Sule's information was last updated on 2019-12-20.
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