Southeast Iowa Orthopedics & Sports Medicine Pc in Burlington - Specialist
Southeast Iowa Orthopedics & Sports Medicine Pc - NPI 1356521504
Southeast Iowa Orthopedics & Sports Medicine Pc is a Specialist in Burlington, Iowa. Southeast Iowa Orthopedics & Sports Medicine Pc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Southeast Iowa Orthopedics & Sports Medicine Pc is 1356521504. The last update date is 2012-11-06.
Southeast Iowa Orthopedics & Sports Medicine Pc's current location address is 600 N Main St, Burlington, Iowa. You can contact this provider via phone number 3197589133 and fax number 3197589143. The mailing address for Southeast Iowa Orthopedics & Sports Medicine Pc is 600 N Main St, Burlington, Iowa. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Southeast Iowa Orthopedics & Sports Medicine Pc |
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Address | 600 N Main St, Burlington, Iowa |
Phone Number | 3197589133 |
Fax Number | 3197589143 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | CEO |
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Authorized Official Name | Hendricks W Michael |
Credentials | MD |
Telephone Number | 3197589133 |
NPI Number Detail
NPI Number | 1356521504 |
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Provider Enumeration Date | 2007-11-05 |
Last Updated Date | 2012-11-06 |
Provider Mailing Address Detail
Address | 600 N Main St |
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City | Burlington |
State | Iowa (IA) |
Post Code | 526015012 |
Phone Number | 3197589133 |
Fax Number | 3197589143 |
Provider's Primary Taxonomy Detail
Speciality | Specialist |
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Taxonomy | 174400000X |
Licence No | 26178 |
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 |
---|---|---|---|
46204 | IA | BCBS | |
470000991 | MEDICARE RAILROAD | ||
1043539 | IA | -- | |
30001 | IA | IAHS | |
10954 | IA | MIDLANDS CHOICE | |
267960871 | IA | MEDICAID ILLINOIS |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Southeast Iowa Orthopedics & Sports Medicine Pc by the Centers for Medicare & Medicaid Services?
The Southeast Iowa Orthopedics & Sports Medicine Pc has been assigned the NPI (National Provider Identifier) 1356521504 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Southeast Iowa Orthopedics & Sports Medicine Pc's facilities are situated?
The facilities of Southeast Iowa Orthopedics & Sports Medicine Pc are physically located at the following address: 600 N Main St, Burlington, IA, 526015012.
What is the Southeast Iowa Orthopedics & Sports Medicine Pc's specialty and taxonomy code?
The Southeast Iowa Orthopedics & Sports Medicine Pc's specialty is Specialist, and the corresponding taxonomy code is 174400000X.
When was the Southeast Iowa Orthopedics & Sports Medicine Pc's 1356521504 issued?
The Southeast Iowa Orthopedics & Sports Medicine Pc's 1356521504 was issued on 2007-11-05.
As of what date was the information pertaining to Southeast Iowa Orthopedics & Sports Medicine Pc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Southeast Iowa Orthopedics & Sports Medicine Pc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2012-11-06.
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