Simeon H. Wall is a Specialist in Shreveport, Louisiana. Simeon H. Wall practices all healthcare services and medical treatments related to Specialist. The NPI Number for Simeon H. Wall is 1700939147. The last update date is 2012-02-22.
Simeon H. Wall's current location address is 8600 Fern Ave, Shreveport, Louisiana. You can contact this provider via phone number 3187950801 and fax number 3187959492. The mailing address for Simeon H. Wall is 8600 Fern Ave, Shreveport, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Simeon H. Wall |
|---|---|
| Address | 8600 Fern Ave, Shreveport, Louisiana |
| Phone Number | 3187950801 |
| Fax Number | 3187959492 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1700939147 |
|---|---|
| Provider Enumeration Date | 2007-01-19 |
| Last Updated Date | 2012-02-22 |
Provider Mailing Address Detail
| Address | 8600 Fern Ave |
|---|---|
| City | Shreveport |
| State | Louisiana (LA) |
| Post Code | 711055639 |
| Phone Number | 3187950801 |
| Fax Number | 3187959492 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 02970R |
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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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What is the unique identifier code issued to Simeon H. Wall by the Centers for Medicare & Medicaid Services (CMS)?
The Simeon H. Wall has been assigned the NPI (National Provider Identifier) 1700939147. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Simeon H. Wall located?
The Simeon H. Wall is located at 8600 Fern Ave, Shreveport, LA 711055639.
What is Simeon H. Wall's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Simeon H. Wall's specialized field of practice is Specialist, and the corresponding taxonomy code that categorizes this area of specialization is 174400000X.
When did the Simeon H. Wall receive its 1700939147?
The Simeon H. Wall was issued its 1700939147 on 2007-01-19, which is the date when the organization was assigned this unique identifier.
As of what date were the Simeon H. Wall's details last updated?
The information pertaining to the Simeon H. Wall, including its address, specialty, and other details, was most recently updated on 2012-02-22.
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