Edward B Miedema in Lincolnton - Specialist

Edward B Miedema - NPI 1912908765

Edward B Miedema is a Specialist in Lincolnton, North Carolina. Edward B Miedema practices all healthcare services and medical treatments related to Specialist. The NPI Number for Edward B Miedema is 1912908765. The last update date is 2008-01-04.

Edward B Miedema's current location address is 206 Gamble Dr, Lincolnton, North Carolina. You can contact this provider via phone number 7047324409 and fax number 7047355784. The mailing address for Edward B Miedema is 206 Gamble Dr, Lincolnton, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Edward B Miedema
Address 206 Gamble Dr, Lincolnton, North Carolina
Phone Number 7047324409
Fax Number 7047355784
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1912908765
Provider Enumeration Date 2005-08-02
Last Updated Date 2008-01-04

Provider Mailing Address Detail

Address 206 Gamble Dr
City Lincolnton
State North Carolina (NC)
Post Code 280924439
Phone Number 7047324409
Fax Number 7047355784

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
89135MK NC --

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FAQs about Edward B Miedema

What is the unique 10-digit identifier code issued to Edward B Miedema by the Centers for Medicare & Medicaid Services?

The Edward B Miedema has been assigned the NPI (National Provider Identifier) 1912908765 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical address where Edward B Miedema is geographically located?

The Edward B Miedema is physically situated at the following location: 206 Gamble Dr, Lincolnton, NC, 280924439.

What is the Edward B Miedema's area of specialization and corresponding taxonomy classification?

The Edward B Miedema's specialty field is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their specialties.

On what date did the Edward B Miedema receive its 1912908765 assignment from the Centers for Medicare & Medicaid Services?

The Edward B Miedema was assigned its 1912908765 by the Centers for Medicare & Medicaid Services on 2005-08-02.

As of what date was the information pertaining to Edward B Miedema, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Edward B Miedema, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-01-04.

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