Jeffrey A Squires is a Specialist in Fridley, Minnesota. Jeffrey A Squires practices all healthcare services and medical treatments related to Specialist. The NPI Number for Jeffrey A Squires is 1639115074. The last update date is 2007-07-08.
Jeffrey A Squires's current location address is 7205 University Ave Ne, Fridley, Minnesota. You can contact this provider via phone number 7635714000 and fax number 7635717202. The mailing address for Jeffrey A Squires is 7205 University Ave Ne, Fridley, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffrey A Squires |
|---|---|
| Address | 7205 University Ave Ne, Fridley, Minnesota |
| Phone Number | 7635714000 |
| Fax Number | 7635717202 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1639115074 |
|---|---|
| Provider Enumeration Date | 2006-06-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 7205 University Ave Ne |
|---|---|
| City | Fridley |
| State | Minnesota (MN) |
| Post Code | 554323134 |
| Phone Number | 7635714000 |
| Fax Number | 7635717202 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 31480 |
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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 |
|---|---|---|---|
| 423898200 | MN | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Jeffrey A Squires?
The Jeffrey A Squires has been issued the NPI (National Provider Identifier) 1639115074 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Jeffrey A Squires located?
The Jeffrey A Squires is located at 7205 University Ave Ne, Fridley, MN 554323134.
What is the area of specialization for Jeffrey A Squires, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jeffrey A Squires is Specialist, and the corresponding taxonomy code that categorizes this area of expertise is 174400000X.
On what date did the Jeffrey A Squires receive its 1639115074 assignment from the Centers for Medicare & Medicaid Services?
The Jeffrey A Squires was assigned its 1639115074 by the Centers for Medicare & Medicaid Services on 2006-06-22.
As of what date was the information regarding Jeffrey A Squires, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jeffrey A Squires, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.