Stonewall Pediatrics in Lexington - Specialist

Stonewall Pediatrics - NPI 1093922726

Stonewall Pediatrics is a Specialist in Lexington, Virginia. Stonewall Pediatrics practices all healthcare services and medical treatments related to Specialist. The NPI Number for Stonewall Pediatrics is 1093922726. The last update date is 2020-08-22.

Stonewall Pediatrics's current location address is 108 Houston St, Lexington, Virginia. You can contact this provider via phone number 5404633162 and fax number 5404633213. The mailing address for Stonewall Pediatrics is 108 Houston St, Lexington, Virginia. To know further, please read the information below!

Provider Profile Detail

Provider Organization Stonewall Pediatrics
Address 108 Houston St, Lexington, Virginia
Phone Number 5404633162
Fax Number 5404633213
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PEDIATRICI
Authorized Official Name Jacobs M William
Credentials MD
Telephone Number 5404633162

NPI Number Detail

NPI Number 1093922726
Provider Enumeration Date 2007-05-16
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 108 Houston St
City Lexington
State Virginia (VA)
Post Code 244502455
Phone Number 5404633162
Fax Number 5404633213

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 101030878
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
6737846 VA --
1487706693 VA NPI FOR PHYSICIAN ASST.
1962587287 VA NPI

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FAQs about Stonewall Pediatrics

What is the Stonewall Pediatrics's unique identification number?

The Stonewall Pediatrics has been assigned the NPI (National Provider Identifier) Number 1093922726 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete street address where Stonewall Pediatrics is physically located?

The Stonewall Pediatrics is physically situated at the following address: 108 Houston St, Lexington, VA, 244502455.

What is Stonewall Pediatrics's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Stonewall Pediatrics is Specialist, and the taxonomy code that classifies this field of practice is 174400000X.

When did the Stonewall Pediatrics receive its 1093922726?

The Stonewall Pediatrics was issued its 1093922726 on 2007-05-16, which is the date when the organization was assigned this unique identifier.

When was the information regarding Stonewall Pediatrics most recently updated?

The details pertaining to the Stonewall Pediatrics, including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.

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