Jeremy Richard Donner in St Louis Park - Specialist
Jeremy Richard Donner - NPI 1457471054
Jeremy Richard Donner is a Specialist in St Louis Park, Minnesota. Jeremy Richard Donner practices all healthcare services and medical treatments related to Specialist. The NPI Number for Jeremy Richard Donner is 1457471054. The last update date is 2007-08-01.
Jeremy Richard Donner's current location address is 3601 Phillips Pkwy Apt 208, St Louis Park, Minnesota. You can contact this provider via phone number 9528368967. The mailing address for Jeremy Richard Donner is 3601 Phillips Pkwy Apt 208, St Louis Park, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeremy Richard Donner |
|---|---|
| Address | 3601 Phillips Pkwy Apt 208, St Louis Park, Minnesota |
| Phone Number | 9528368967 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | ATC |
NPI Number Detail
| NPI Number | 1457471054 |
|---|---|
| Provider Enumeration Date | 2007-03-29 |
| Last Updated Date | 2007-08-01 |
Provider Mailing Address Detail
| Address | 3601 Phillips Pkwy Apt 208 |
|---|---|
| City | St Louis Park |
| State | Minnesota (MN) |
| Post Code | 554263875 |
| Phone Number | 9528368967 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 1920 |
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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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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Jeremy Richard Donner by the Centers for Medicare & Medicaid Services?
The Jeremy Richard Donner has been assigned the NPI (National Provider Identifier) 1457471054 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Jeremy Richard Donner is physically located?
The Jeremy Richard Donner is situated at the following address: 3601 Phillips Pkwy Apt 208, St Louis Park, MN 554263875.
What is the Jeremy Richard Donner's area of specialization and corresponding taxonomy classification?
The Jeremy Richard Donner's specialty field is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their specialties.
On what date did Jeremy Richard Donner receive its 1457471054 assignment from the Centers for Medicare & Medicaid Services?
The Jeremy Richard Donner was assigned its 1457471054 on 2007-03-29, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Jeremy Richard Donner, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jeremy Richard Donner, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-08-01.