Wmcesa is a Specialist in Nampa, Idaho. Wmcesa practices all healthcare services and medical treatments related to Specialist. The NPI Number for Wmcesa is 1952493249. The last update date is 2020-08-22.
Wmcesa's current location address is 1603 12th Ave. Rd, Nampa, Idaho. You can contact this provider via phone number 2084672400 and fax number 2084676416. The mailing address for Wmcesa is 1603 12th Ave. Rd, Nampa, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Wmcesa |
|---|---|
| Address | 1603 12th Ave. Rd, Nampa, Idaho |
| Phone Number | 2084672400 |
| Fax Number | 2084676416 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | SUPERVISIN |
|---|---|
| Authorized Official Name | Carlson Gerald |
| Credentials | D.O |
| Telephone Number | 2084672400 |
NPI Number Detail
| NPI Number | 1952493249 |
|---|---|
| Provider Enumeration Date | 2006-09-28 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1603 12th Ave. Rd |
|---|---|
| City | Nampa |
| State | Idaho (ID) |
| Post Code | 83686 |
| Phone Number | 2084672400 |
| Fax Number | 2084676416 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
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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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What is the unique 10-digit identification code issued to Wmcesa by the Centers for Medicare & Medicaid Services?
The Wmcesa has been assigned the NPI (National Provider Identifier) 1952493249 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Wmcesa located?
The Wmcesa is located at 1603 12Th Ave. Rd, Nampa, ID 83686.
What is Wmcesa's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Wmcesa is Specialist, and the taxonomy code that classifies this field of practice is 174400000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1952493249 to Wmcesa?
The Centers for Medicare & Medicaid Services originally issued the 1952493249 to Wmcesa on 2006-09-28.
As of what date was the information regarding Wmcesa, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Wmcesa, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.
NPI Number: 1770579468
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