Casper Ezra Cline in Frederick - Specialist
Casper Ezra Cline - NPI 1063493609
Casper Ezra Cline is a Specialist in Frederick, Maryland. Casper Ezra Cline practices all healthcare services and medical treatments related to Specialist. The NPI Number for Casper Ezra Cline is 1063493609. The last update date is 2008-05-12.
Casper Ezra Cline's current location address is 300 W 9th St, Frederick, Maryland. You can contact this provider via phone number 3016628119 and fax number 3016960985. The mailing address for Casper Ezra Cline is 300 W 9th St, Frederick, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Casper Ezra Cline |
|---|---|
| Address | 300 W 9th St, Frederick, Maryland |
| Phone Number | 3016628119 |
| Fax Number | 3016960985 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1063493609 |
|---|---|
| Provider Enumeration Date | 2005-11-10 |
| Last Updated Date | 2008-05-12 |
Provider Mailing Address Detail
| Address | 300 W 9th St |
|---|---|
| City | Frederick |
| State | Maryland (MD) |
| Post Code | 217014541 |
| Phone Number | 3016628119 |
| Fax Number | 3016960985 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | D16428 |
|
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 |
|---|---|---|---|
| 110047911 | MD | MEDICARE RAILROAD | |
| 252321300 | MD | -- | |
| 1063493609 | MD | MEDICAID NPI |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Casper Ezra Cline by the Centers for Medicare & Medicaid Services?
The Casper Ezra Cline has been issued the NPI (National Provider Identifier) 1063493609 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Casper Ezra Cline located?
The Casper Ezra Cline is located at 300 W 9Th St, Frederick, MD 217014541.
What is the Casper Ezra Cline's specialty and taxonomy code?
The Casper Ezra Cline's specialty is Specialist, and the corresponding taxonomy code is 174400000X.
On what date did Casper Ezra Cline receive its 1063493609 assignment from the Centers for Medicare & Medicaid Services?
The Casper Ezra Cline was assigned its 1063493609 on 2005-11-10, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Casper Ezra Cline's details last updated?
The information pertaining to the Casper Ezra Cline, including its address, specialty, and other details, was most recently updated on 2008-05-12.
NPI Number: 1588667679
Address: 9104 Babcock Blvd, Pittsburgh, PA