Mark D Kriskovich in Cookeville - Specialist
Mark D Kriskovich - NPI 1619086626
Mark D Kriskovich is a Specialist in Cookeville, Tennessee. Mark D Kriskovich practices all healthcare services and medical treatments related to Specialist. The NPI Number for Mark D Kriskovich is 1619086626. The last update date is 2007-07-08.
Mark D Kriskovich's current location address is 100 W 4th St, Cookeville, Tennessee. You can contact this provider via phone number 9315281575 and fax number 9315262962. The mailing address for Mark D Kriskovich is 100 W 4th St, Cookeville, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark D Kriskovich |
|---|---|
| Address | 100 W 4th St, Cookeville, Tennessee |
| Phone Number | 9315281575 |
| Fax Number | 9315262962 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1619086626 |
|---|---|
| Provider Enumeration Date | 2006-08-30 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 100 W 4th St |
|---|---|
| City | Cookeville |
| State | Tennessee (TN) |
| Post Code | 385012448 |
| Phone Number | 9315281575 |
| Fax Number | 9315262962 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | MD036079 |
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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 |
|---|---|---|---|
| 3872688 | TN | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Mark D Kriskovich by the Centers for Medicare & Medicaid Services?
The Mark D Kriskovich has been issued the NPI (National Provider Identifier) 1619086626. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Mark D Kriskovich located?
The Mark D Kriskovich is located at 100 W 4Th St, Cookeville, TN 385012448.
What is Mark D Kriskovich's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Mark D Kriskovich is Specialist, and the corresponding taxonomy classification code for this specialized field is 174400000X.
When did Mark D Kriskovich receive its 1619086626 assignment?
The Mark D Kriskovich was assigned its 1619086626 on 2006-08-30, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Mark D Kriskovich most recently updated or revised?
The details related to Mark D Kriskovich, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.