Lynn H Woodland in Idaho Falls - Specialist

Lynn H Woodland - NPI 1679628457

Lynn H Woodland is a Specialist in Idaho Falls, Idaho. Lynn H Woodland practices all healthcare services and medical treatments related to Specialist. The NPI Number for Lynn H Woodland is 1679628457. The last update date is 2010-08-04.

Lynn H Woodland's current location address is 2570 Channing Way, Idaho Falls, Idaho. You can contact this provider via phone number 2085298005 and fax number 2085290251. The mailing address for Lynn H Woodland is 2570 Channing Way, Idaho Falls, Idaho. To know further, please read the information below!

Provider Profile Detail

Provider Name Lynn H Woodland
Address 2570 Channing Way, Idaho Falls, Idaho
Phone Number 2085298005
Fax Number 2085290251
Sole Proprietor N
Credentials M.S. P.T.

NPI Number Detail

NPI Number 1679628457
Provider Enumeration Date 2007-01-24
Last Updated Date 2010-08-04

Provider Mailing Address Detail

Address 2570 Channing Way
City Idaho Falls
State Idaho (ID)
Post Code 834047515
Phone Number 2085298005
Fax Number 2085290251

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No PT-292
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
82-0510764 ID TAX ID#
T-143-5 ID BLUE CROSS OF IDAHO ID#
4407700 ID --
10025913 ID BLUE SHIELD OF IDAHO ID#

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FAQs about Lynn H Woodland

What is the unique identifier code issued to Lynn H Woodland by the Centers for Medicare & Medicaid Services (CMS)?

The Lynn H Woodland has been assigned the NPI (National Provider Identifier) 1679628457. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Where is the Lynn H Woodland located?

The Lynn H Woodland is located at 2570 Channing Way, Idaho Falls, ID 834047515.

What is Lynn H Woodland's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Lynn H Woodland's specialized field of practice is Specialist, and the corresponding taxonomy code that categorizes this area of specialization is 174400000X.

When was the Lynn H Woodland's 1679628457 issued?

The Lynn H Woodland's 1679628457 was issued on 2007-01-24.

As of what date were the details related to Lynn H Woodland most recently updated or revised?

The information pertaining to Lynn H Woodland, including its address, specialty, and other relevant details, was last updated or revised on 2010-08-04.

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