Eric Franz Evenhuis in Alta Loma - Specialist

Eric Franz Evenhuis - NPI 1114112455

Eric Franz Evenhuis is a Specialist in Alta Loma, California. Eric Franz Evenhuis practices all healthcare services and medical treatments related to Specialist. The NPI Number for Eric Franz Evenhuis is 1114112455. The last update date is 2007-09-10.

Eric Franz Evenhuis's current location address is 6113 Kirkwood Ave, Alta Loma, California. You can contact this provider via phone number 9099805900 and fax number 9094664203. The mailing address for Eric Franz Evenhuis is 6113 Kirkwood Ave, Alta Loma, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Eric Franz Evenhuis
Address 6113 Kirkwood Ave, Alta Loma, California
Phone Number 9099805900
Fax Number 9094664203
Sole Proprietor Y
Credentials MFT

NPI Number Detail

NPI Number 1114112455
Provider Enumeration Date 2007-09-10
Last Updated Date 2007-09-10

Provider Mailing Address Detail

Address 6113 Kirkwood Ave
City Alta Loma
State California (CA)
Post Code 917013417
Phone Number 9099805900
Fax Number 9094664203

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No MFC-13882
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
MFC13882061907 CA SERVICE LOCATION

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FAQs about Eric Franz Evenhuis

What is the unique identifier code issued to Eric Franz Evenhuis by the Centers for Medicare & Medicaid Services (CMS)?

The Eric Franz Evenhuis has been assigned the NPI (National Provider Identifier) 1114112455. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you share the physical location details of Eric Franz Evenhuis?

The Eric Franz Evenhuis is situated at 6113 Kirkwood Ave, in the city of Alta Loma, state of CA, with the zip code 917013417.

What is Eric Franz Evenhuis's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Eric Franz Evenhuis is Specialist, and the corresponding taxonomy classification code for this specialized field is 174400000X.

On what date did Eric Franz Evenhuis receive its 1114112455 assignment from the Centers for Medicare & Medicaid Services?

The Eric Franz Evenhuis was assigned its 1114112455 on 2007-09-10, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Eric Franz Evenhuis last refreshed?

The information related to the Eric Franz Evenhuis, including its address, specialty, and other relevant details, was last updated on 2007-09-10.

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