Jana G Van Wie is a Specialist in Grand Island, Nebraska. Jana G Van Wie practices all healthcare services and medical treatments related to Specialist. The NPI Number for Jana G Van Wie is 1720062458. The last update date is 2017-03-16.
Jana G Van Wie's current location address is 3016 W Faidley Ave, Grand Island, Nebraska. You can contact this provider via phone number 3083828546 and fax number 3083818546. The mailing address for Jana G Van Wie is 3016 W Faidley Ave, Grand Island, Nebraska. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jana G Van Wie |
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Address | 3016 W Faidley Ave, Grand Island, Nebraska |
Phone Number | 3083828546 |
Fax Number | 3083818546 |
Sole Proprietor | Y |
Credentials | MD |
NPI Number Detail
NPI Number | 1720062458 |
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Provider Enumeration Date | 2005-12-06 |
Last Updated Date | 2017-03-16 |
Provider Mailing Address Detail
Address | 3016 W Faidley Ave |
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City | Grand Island |
State | Nebraska (NE) |
Post Code | 688034109 |
Phone Number | 3083828546 |
Fax Number | 3083818546 |
Provider's Primary Taxonomy Detail
Speciality | Specialist |
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Taxonomy | 174400000X |
Licence No | 2801-16706 |
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 |
---|---|---|---|
P00885788 | NE | RR MEDICARE | |
1720062458 | NE | NPI | |
45359 | NE | BCBS | |
6501500001 | NE | MEDICARE DME PTAN | |
97552 | NE | GROUP PTAN | |
97552008 | NE | PTAN | |
1669781225 | NE | GROUP NPI | |
248833 | NE | MIDLANDS CHOICE | |
1033117015 | NE | GROUP NPI | |
10025894200 | NE | -- |
Post Comment/ Review Below
What is the Jana G Van Wie's 1720062458?
The Jana G Van Wie's NPI (National Provider Identifier) Number is 1720062458. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Jana G Van Wie is located?
The Jana G Van Wie is situated at the following address: 3016 W Faidley Ave, Grand Island, NE, 688034109.
What is Jana G Van Wie's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jana G Van Wie's specialized field of practice is Specialist, and the corresponding taxonomy code that categorizes this area of specialization is 174400000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1720062458 to Jana G Van Wie?
The Centers for Medicare & Medicaid Services assigned the 1720062458 to Jana G Van Wie on 2005-12-06.
When was the information pertaining to Jana G Van Wie most recently updated or revised?
The details related to Jana G Van Wie, including its address, specialty, and other relevant information, were last updated or revised on 2017-03-16.