Elmer H Vandyke is a Specialist in Sedalia, Missouri. Elmer H Vandyke practices all healthcare services and medical treatments related to Specialist. The NPI Number for Elmer H Vandyke is 1235180142. The last update date is 2021-04-19.
Elmer H Vandyke's current location address is 3131 Brianna Blvd, Sedalia, Missouri. You can contact this provider via phone number 6608261381 and fax number 6608273001. The mailing address for Elmer H Vandyke is 3131 Brianna Blvd, Sedalia, Missouri. To know further, please read the information below!
Provider Profile Detail
Provider Name | Elmer H Vandyke |
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Address | 3131 Brianna Blvd, Sedalia, Missouri |
Phone Number | 6608261381 |
Fax Number | 6608273001 |
Sole Proprietor | Y |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1235180142 |
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Provider Enumeration Date | 2006-05-15 |
Last Updated Date | 2021-04-19 |
Provider Mailing Address Detail
Address | 3131 Brianna Blvd |
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City | Sedalia |
State | Missouri (MO) |
Post Code | 653012285 |
Phone Number | 6608261381 |
Fax Number | 6608273001 |
Provider's Primary Taxonomy Detail
Speciality | Specialist |
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Taxonomy | 174400000X |
Licence No | 27057 |
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 |
---|---|---|---|
1881013 | MO | BLUE CROSS BLUES SHIELD | |
200437408 | MO | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Elmer H Vandyke by the Centers for Medicare & Medicaid Services?
The Elmer H Vandyke has been issued the NPI (National Provider Identifier) 1235180142, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Elmer H Vandyke?
The Elmer H Vandyke is physically situated at 3131 Brianna Blvd, in the city of Sedalia, state of MO, with the postal code 653012285.
What is Elmer H Vandyke's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Elmer H Vandyke is Specialist, and the taxonomy classification code that categorizes this area of expertise is 174400000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1235180142 to Elmer H Vandyke?
The Elmer H Vandyke received its 1235180142 assignment from the Centers for Medicare & Medicaid Services on 2006-05-15.
When was the information regarding Elmer H Vandyke most recently updated?
The details pertaining to the Elmer H Vandyke, including its address, specialty, and other relevant information, were last refreshed on 2021-04-19.