Paul Matthews Van Deventer in Mandeville - Specialist
Paul Matthews Van Deventer - NPI 1730184193
Paul Matthews Van Deventer is a Specialist in Mandeville, Louisiana. Paul Matthews Van Deventer practices all healthcare services and medical treatments related to Specialist. The NPI Number for Paul Matthews Van Deventer is 1730184193. The last update date is 2007-07-08.
Paul Matthews Van Deventer's current location address is 2330 N Causeway Blvd, Mandeville, Louisiana. You can contact this provider via phone number 9856741700 and fax number 9856741722. The mailing address for Paul Matthews Van Deventer is 2330 N Causeway Blvd, Mandeville, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Paul Matthews Van Deventer |
|---|---|
| Address | 2330 N Causeway Blvd, Mandeville, Louisiana |
| Phone Number | 9856741700 |
| Fax Number | 9856741722 |
| Sole Proprietor | X |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1730184193 |
|---|---|
| Provider Enumeration Date | 2005-06-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2330 N Causeway Blvd |
|---|---|
| City | Mandeville |
| State | Louisiana (LA) |
| Post Code | 7047164020 |
| Phone Number | 9856741700 |
| Fax Number | 9856741722 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 10083R |
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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 |
|---|---|---|---|
| 1531278 | LA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Paul Matthews Van Deventer by the Centers for Medicare & Medicaid Services?
The Paul Matthews Van Deventer has been assigned the NPI (National Provider Identifier) 1730184193. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Paul Matthews Van Deventer?
The Paul Matthews Van Deventer is situated at 2330 N Causeway Blvd, in the city of Mandeville, state of LA, with the zip code 7047164020.
What is Paul Matthews Van Deventer's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Paul Matthews Van Deventer is Specialist, and the corresponding taxonomy classification code for this specialized field is 174400000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1730184193 to Paul Matthews Van Deventer?
The Centers for Medicare & Medicaid Services assigned the 1730184193 to Paul Matthews Van Deventer on 2005-06-14.
When was the Paul Matthews Van Deventer's information last updated?
The Paul Matthews Van Deventer's information was last updated on 2007-07-08.