Carrie Lynn Wilgus in Hastings - Specialist
Carrie Lynn Wilgus - NPI 1174586978
Carrie Lynn Wilgus is a Specialist in Hastings, Michigan. Carrie Lynn Wilgus practices all healthcare services and medical treatments related to Specialist. The NPI Number for Carrie Lynn Wilgus is 1174586978. The last update date is 2017-12-13.
Carrie Lynn Wilgus's current location address is 300 Meadow Run Drive, Hastings, Michigan. You can contact this provider via phone number 2698181020 and fax number 2698181266. The mailing address for Carrie Lynn Wilgus is 300 Meadow Run Drive, Hastings, Michigan. To know further, please read the information below!
Provider Profile Detail
Provider Name | Carrie Lynn Wilgus |
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Address | 300 Meadow Run Drive, Hastings, Michigan |
Phone Number | 2698181020 |
Fax Number | 2698181266 |
Sole Proprietor | Y |
Credentials | MD |
NPI Number Detail
NPI Number | 1174586978 |
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Provider Enumeration Date | 2006-04-11 |
Last Updated Date | 2017-12-13 |
Provider Mailing Address Detail
Address | 300 Meadow Run Drive |
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City | Hastings |
State | Michigan (MI) |
Post Code | 49058 |
Phone Number | 2698181020 |
Fax Number | 2698181266 |
Provider's Primary Taxonomy Detail
Speciality | Specialist |
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Taxonomy | 174400000X |
Licence No | 4301073703 |
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 |
---|---|---|---|
3500800182 | MI | BCBS | |
4123869 | MI | -- |
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What is the unique identification code assigned to Carrie Lynn Wilgus by the Centers for Medicare & Medicaid Services?
The Carrie Lynn Wilgus has been issued the NPI (National Provider Identifier) 1174586978. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Carrie Lynn Wilgus's physical address?
The Carrie Lynn Wilgus is physically located at 300 Meadow Run Drive, in the city of Hastings, MI, with the postal code 49058.
What is the Carrie Lynn Wilgus's area of specialization and corresponding taxonomy classification?
The Carrie Lynn Wilgus's specialty field is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their specialties.
When did Carrie Lynn Wilgus receive its 1174586978 assignment?
The Carrie Lynn Wilgus was assigned its 1174586978 on 2006-04-11, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Carrie Lynn Wilgus most recently updated or revised?
The information pertaining to Carrie Lynn Wilgus, including its address, specialty, and other relevant details, was last updated or revised on 2017-12-13.