Tina Lorene Swanke in Berlin - Specialist
Tina Lorene Swanke - NPI 1063511061
Tina Lorene Swanke is a Specialist in Berlin, Wisconsin. Tina Lorene Swanke practices all healthcare services and medical treatments related to Specialist. The NPI Number for Tina Lorene Swanke is 1063511061. The last update date is 2007-07-08.
Tina Lorene Swanke's current location address is 147 N State St, Berlin, Wisconsin. You can contact this provider via phone number 9203613515. The mailing address for Tina Lorene Swanke is 147 N State St, Berlin, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tina Lorene Swanke |
|---|---|
| Address | 147 N State St, Berlin, Wisconsin |
| Phone Number | 9203613515 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | OTR |
NPI Number Detail
| NPI Number | 1063511061 |
|---|---|
| Provider Enumeration Date | 2006-09-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 147 N State St |
|---|---|
| City | Berlin |
| State | Wisconsin (WI) |
| Post Code | 549231621 |
| Phone Number | 9203613515 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 729-026 |
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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 |
|---|---|---|---|
| 40729700 | WI | -- |
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What is the unique 10-digit identification code issued to Tina Lorene Swanke by the Centers for Medicare & Medicaid Services?
The Tina Lorene Swanke has been assigned the NPI (National Provider Identifier) 1063511061 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Tina Lorene Swanke?
The Tina Lorene Swanke is physically situated at 147 N State St, in the city of Berlin, state of WI, with the postal code 549231621.
What is Tina Lorene Swanke's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Tina Lorene Swanke's specialized field of practice is Specialist, and the corresponding taxonomy code that categorizes this area of specialization is 174400000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1063511061 to Tina Lorene Swanke?
The Tina Lorene Swanke received its 1063511061 assignment from the Centers for Medicare & Medicaid Services on 2006-09-22.
When was the information pertaining to Tina Lorene Swanke most recently updated or revised?
The details related to Tina Lorene Swanke, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.