Central Carolina Nephrology Pa in Concord - Specialist
Central Carolina Nephrology Pa - NPI 1205801412
Central Carolina Nephrology Pa is a Specialist in Concord, North Carolina. Central Carolina Nephrology Pa practices all healthcare services and medical treatments related to Specialist. The NPI Number for Central Carolina Nephrology Pa is 1205801412. The last update date is 2020-08-22.
Central Carolina Nephrology Pa's current location address is 200 Medical Park Dr, Concord, North Carolina. You can contact this provider via phone number 7047867770 and fax number 7047889351. The mailing address for Central Carolina Nephrology Pa is 200 Medical Park Dr, Concord, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Central Carolina Nephrology Pa |
|---|---|
| Address | 200 Medical Park Dr, Concord, North Carolina |
| Phone Number | 7047867770 |
| Fax Number | 7047889351 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Halstenberg Kenneth William |
| Credentials | MD |
| Telephone Number | 7047867770 |
NPI Number Detail
| NPI Number | 1205801412 |
|---|---|
| Provider Enumeration Date | 2006-02-21 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 200 Medical Park Dr |
|---|---|
| City | Concord |
| State | North Carolina (NC) |
| Post Code | 280252982 |
| Phone Number | 7047867770 |
| Fax Number | 7047889351 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
|
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 |
|---|---|---|---|
| 890213H | NC | -- | |
| 0213H | NC | BCBS GROUP # |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Central Carolina Nephrology Pa by the Centers for Medicare & Medicaid Services?
The Central Carolina Nephrology Pa has been issued the NPI (National Provider Identifier) 1205801412, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Central Carolina Nephrology Pa is physically located?
The Central Carolina Nephrology Pa is physically situated at the following address: 200 Medical Park Dr, Concord, NC, 280252982.
What is Central Carolina Nephrology Pa's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Central Carolina Nephrology Pa is Specialist, and the taxonomy code that classifies this field of practice is 174400000X.
When was the Central Carolina Nephrology Pa's 1205801412 issued?
The Central Carolina Nephrology Pa's 1205801412 was issued on 2006-02-21.
When was the information related to Central Carolina Nephrology Pa most recently updated or refreshed?
The details pertaining to the Central Carolina Nephrology Pa, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.