Jean Marie Ladisic in Fredericktown - Specialist
Jean Marie Ladisic - NPI 1831354158
Jean Marie Ladisic is a Specialist in Fredericktown, Pennsylvania. Jean Marie Ladisic practices all healthcare services and medical treatments related to Specialist. The NPI Number for Jean Marie Ladisic is 1831354158. The last update date is 2008-07-25.
Jean Marie Ladisic's current location address is 1070 Old National Pike, Fredericktown, Pennsylvania. You can contact this provider via phone number 7246326801 and fax number 7246326312. The mailing address for Jean Marie Ladisic is 1070 Old National Pike, Fredericktown, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jean Marie Ladisic |
|---|---|
| Address | 1070 Old National Pike, Fredericktown, Pennsylvania |
| Phone Number | 7246326801 |
| Fax Number | 7246326312 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1831354158 |
|---|---|
| Provider Enumeration Date | 2008-07-25 |
| Last Updated Date | 2008-07-25 |
Provider Mailing Address Detail
| Address | 1070 Old National Pike |
|---|---|
| City | Fredericktown |
| State | Pennsylvania (PA) |
| Post Code | 153332114 |
| Phone Number | 7246326801 |
| Fax Number | 7246326312 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
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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 |
|---|---|---|---|
| 1007288440051 | PA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Jean Marie Ladisic by the Centers for Medicare & Medicaid Services?
The Jean Marie Ladisic has been issued the NPI (National Provider Identifier) 1831354158, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Jean Marie Ladisic's facilities are situated?
The facilities of Jean Marie Ladisic are physically located at the following address: 1070 Old National Pike, Fredericktown, PA, 153332114.
What is the Jean Marie Ladisic's area of specialization and corresponding taxonomy classification?
The Jean Marie Ladisic's specialty field is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their specialties.
When did the Jean Marie Ladisic receive its 1831354158?
The Jean Marie Ladisic was issued its 1831354158 on 2008-07-25, which is the date when the organization was assigned this unique identifier.
As of what date were the Jean Marie Ladisic's details last updated?
The information pertaining to the Jean Marie Ladisic, including its address, specialty, and other details, was most recently updated on 2008-07-25.