Nicole Dawn Diedrich in Pecatonica - Specialist
Nicole Dawn Diedrich - NPI 1750438826
Nicole Dawn Diedrich is a Specialist in Pecatonica, Illinois. Nicole Dawn Diedrich practices all healthcare services and medical treatments related to Specialist. The NPI Number for Nicole Dawn Diedrich is 1750438826. The last update date is 2018-07-11.
Nicole Dawn Diedrich's current location address is 219 Main St, Pecatonica, Illinois. You can contact this provider via phone number 8152392233 and fax number 8152399999. The mailing address for Nicole Dawn Diedrich is 219 Main St, Pecatonica, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Nicole Dawn Diedrich |
|---|---|
| Address | 219 Main St, Pecatonica, Illinois |
| Phone Number | 8152392233 |
| Fax Number | 8152399999 |
| Sole Proprietor | N |
| Credentials | P.T. |
NPI Number Detail
| NPI Number | 1750438826 |
|---|---|
| Provider Enumeration Date | 2007-01-04 |
| Last Updated Date | 2018-07-11 |
Provider Mailing Address Detail
| Address | 219 Main St |
|---|---|
| City | Pecatonica |
| State | Illinois (IL) |
| Post Code | 610639195 |
| Phone Number | 8152392233 |
| Fax Number | 8152399999 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 70013314 |
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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 Nicole Dawn Diedrich by the Centers for Medicare & Medicaid Services?
The Nicole Dawn Diedrich has been assigned the NPI (National Provider Identifier) 1750438826 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Nicole Dawn Diedrich is located?
The Nicole Dawn Diedrich is situated at the following address: 219 Main St, Pecatonica, IL, 610639195.
What is the Nicole Dawn Diedrich's specialty and taxonomy code?
The Nicole Dawn Diedrich's specialty is Specialist, and the corresponding taxonomy code is 174400000X.
On what date did Nicole Dawn Diedrich receive its 1750438826 assignment from the Centers for Medicare & Medicaid Services?
The Nicole Dawn Diedrich was assigned its 1750438826 on 2007-01-04, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Nicole Dawn Diedrich most recently updated or refreshed?
The details pertaining to the Nicole Dawn Diedrich, including its address, specialty, and other relevant information, were last updated or refreshed on 2018-07-11.
NPI Number: 1982607784
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