Richard Bruce Koefoot in Grand Island - Specialist
Richard Bruce Koefoot - NPI 1003896010
Richard Bruce Koefoot is a Specialist in Grand Island, Nebraska. Richard Bruce Koefoot practices all healthcare services and medical treatments related to Specialist. The NPI Number for Richard Bruce Koefoot is 1003896010. The last update date is 2010-01-28.
Richard Bruce Koefoot's current location address is 620 N Alpha St, Grand Island, Nebraska. You can contact this provider via phone number 3083810473 and fax number 3083812616. The mailing address for Richard Bruce Koefoot is 620 N Alpha St, Grand Island, Nebraska. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Richard Bruce Koefoot |
|---|---|
| Address | 620 N Alpha St, Grand Island, Nebraska |
| Phone Number | 3083810473 |
| Fax Number | 3083812616 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1003896010 |
|---|---|
| Provider Enumeration Date | 2006-01-18 |
| Last Updated Date | 2010-01-28 |
Provider Mailing Address Detail
| Address | 620 N Alpha St |
|---|---|
| City | Grand Island |
| State | Nebraska (NE) |
| Post Code | 688034316 |
| Phone Number | 3083810473 |
| Fax Number | 3083812616 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 18143 |
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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 |
|---|---|---|---|
| 378 | NE | BLUE CROSS | |
| 247460 | NE | MIDLANDS CHOICE | |
| P00241093 | NE | RAILROAD MEDICARE |
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What is the unique 10-digit identifier code issued to Richard Bruce Koefoot by the Centers for Medicare & Medicaid Services?
The Richard Bruce Koefoot has been assigned the NPI (National Provider Identifier) 1003896010 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Richard Bruce Koefoot located?
The Richard Bruce Koefoot is located at 620 N Alpha St, Grand Island, NE 688034316.
What is Richard Bruce Koefoot's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Richard Bruce Koefoot is Specialist, and the corresponding taxonomy classification code for this specialized field is 174400000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1003896010 to Richard Bruce Koefoot?
The Centers for Medicare & Medicaid Services assigned the 1003896010 to Richard Bruce Koefoot on 2006-01-18.
When was the information related to Richard Bruce Koefoot most recently updated or refreshed?
The details pertaining to the Richard Bruce Koefoot, including its address, specialty, and other relevant information, were last updated or refreshed on 2010-01-28.