Carl Ray Dettwiler in Lewiston - Specialist
Carl Ray Dettwiler - NPI 1285623819
Carl Ray Dettwiler is a Specialist in Lewiston, Idaho. Carl Ray Dettwiler practices all healthcare services and medical treatments related to Specialist. The NPI Number for Carl Ray Dettwiler is 1285623819. The last update date is 2013-02-13.
Carl Ray Dettwiler's current location address is 2517 17th St, Lewiston, Idaho. You can contact this provider via phone number 2087434373 and fax number 2087433369. The mailing address for Carl Ray Dettwiler is 2517 17th St, Lewiston, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carl Ray Dettwiler |
|---|---|
| Address | 2517 17th St, Lewiston, Idaho |
| Phone Number | 2087434373 |
| Fax Number | 2087433369 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1285623819 |
|---|---|
| Provider Enumeration Date | 2005-10-17 |
| Last Updated Date | 2013-02-13 |
Provider Mailing Address Detail
| Address | 2517 17th St |
|---|---|
| City | Lewiston |
| State | Idaho (ID) |
| Post Code | 835016311 |
| Phone Number | 2087434373 |
| Fax Number | 2087433369 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | M5110 |
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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 |
|---|---|---|---|
| 806979100 | ID | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Carl Ray Dettwiler by the Centers for Medicare & Medicaid Services?
The Carl Ray Dettwiler has been assigned the NPI (National Provider Identifier) 1285623819 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Carl Ray Dettwiler is located?
The Carl Ray Dettwiler is situated at the following address: 2517 17Th St, Lewiston, ID, 835016311.
What is Carl Ray Dettwiler's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Carl Ray Dettwiler is Specialist, and the taxonomy classification code that categorizes this area of expertise is 174400000X.
On what date did Carl Ray Dettwiler receive its 1285623819 assignment from the Centers for Medicare & Medicaid Services?
The Carl Ray Dettwiler was assigned its 1285623819 on 2005-10-17, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Carl Ray Dettwiler, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Carl Ray Dettwiler, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2013-02-13.
NPI Number: 1962405167
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