Walter Jm Pedersen in St Croix - Specialist
Walter Jm Pedersen - NPI 1780671909
Walter Jm Pedersen is a Specialist in St Croix, Virgin Islands. Walter Jm Pedersen practices all healthcare services and medical treatments related to Specialist. The NPI Number for Walter Jm Pedersen is 1780671909. The last update date is 2007-12-11.
Walter Jm Pedersen's current location address is Po Box 7840, St Croix, Virgin Islands. You can contact this provider via phone number 3407786110 and fax number 3407782919. The mailing address for Walter Jm Pedersen is Po Box 7840, St Croix, Virgin Islands. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Walter Jm Pedersen |
|---|---|
| Address | Po Box 7840, St Croix, Virgin Islands |
| Phone Number | 3407786110 |
| Fax Number | 3407782919 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1780671909 |
|---|---|
| Provider Enumeration Date | 2005-10-03 |
| Last Updated Date | 2007-12-11 |
Provider Mailing Address Detail
| Address | Po Box 7840 |
|---|---|
| City | St Croix |
| State | Virgin Islands (VI) |
| Post Code | 8237840 |
| Phone Number | 3407786110 |
| Fax Number | 3407782919 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 653 |
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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 |
|---|---|---|---|
| V1000011 | VI | TRICARE | |
| 1780671909 | VI | NPI | |
| 53699PE | VI | TRIPLE S | |
| 89045 | VI | BLUE CROSS BLUE SHIELD VI | |
| 500138 | VI | HUMANA |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Walter Jm Pedersen by the Centers for Medicare & Medicaid Services?
The Walter Jm Pedersen has been issued the NPI (National Provider Identifier) 1780671909 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Walter Jm Pedersen's physical address?
The Walter Jm Pedersen is physically located at Po Box 7840, in the city of St Croix, VI, with the postal code 8237840.
What is the area of specialization for Walter Jm Pedersen, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Walter Jm Pedersen is Specialist, and the corresponding taxonomy code that categorizes this area of expertise is 174400000X.
On what date did the Walter Jm Pedersen receive its 1780671909 assignment from the Centers for Medicare & Medicaid Services?
The Walter Jm Pedersen was assigned its 1780671909 by the Centers for Medicare & Medicaid Services on 2005-10-03.
As of what date was the information pertaining to Walter Jm Pedersen, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Walter Jm Pedersen, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-12-11.