Christin S Reisenauer in Moscow - Specialist

Christin S Reisenauer - NPI 1205802998

Christin S Reisenauer is a Specialist in Moscow, Idaho. Christin S Reisenauer practices all healthcare services and medical treatments related to Specialist. The NPI Number for Christin S Reisenauer is 1205802998. The last update date is 2014-05-16.

Christin S Reisenauer's current location address is Po Box 9583, Moscow, Idaho. You can contact this provider via phone number 2088828369 and fax number 2088821887. The mailing address for Christin S Reisenauer is Po Box 9583, Moscow, Idaho. To know further, please read the information below!

Provider Profile Detail

Provider Name Christin S Reisenauer
Address Po Box 9583, Moscow, Idaho
Phone Number 2088828369
Fax Number 2088821887
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1205802998
Provider Enumeration Date 2006-02-23
Last Updated Date 2014-05-16

Provider Mailing Address Detail

Address Po Box 9583
City Moscow
State Idaho (ID)
Post Code 838430177
Phone Number 2088828369
Fax Number 2088821887

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No M6554
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
3901200 ID --
8235863 WA --

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FAQs about Christin S Reisenauer

What is the unique identifier code issued to Christin S Reisenauer by the Centers for Medicare & Medicaid Services (CMS)?

The Christin S Reisenauer has been assigned the NPI (National Provider Identifier) 1205802998. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete address where Christin S Reisenauer is physically located?

The Christin S Reisenauer is situated at the following address: Po Box 9583, Moscow, ID 838430177.

What is Christin S Reisenauer's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Christin S Reisenauer is Specialist, and the taxonomy code that classifies this field of practice is 174400000X.

On what date did the Christin S Reisenauer receive the assignment of its 1205802998 from the Centers for Medicare & Medicaid Services?

The Christin S Reisenauer was issued its 1205802998 by the Centers for Medicare & Medicaid Services on 2006-02-23.

As of what date was the information regarding Christin S Reisenauer, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Christin S Reisenauer, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2014-05-16.

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