Jacqueline Wilson Martin in Eden - Lodging
Jacqueline Wilson Martin - NPI 1073667226
Jacqueline Wilson Martin is a Lodging in Eden, North Carolina. Jacqueline Wilson Martin practices all healthcare services and medical treatments related to Lodging. The NPI Number for Jacqueline Wilson Martin is 1073667226. The last update date is 2007-07-08.
Jacqueline Wilson Martin's current location address is 210 S Van Buren Rd, Eden, North Carolina. You can contact this provider via phone number 3365772173 and fax number 3365891320. The mailing address for Jacqueline Wilson Martin is 210 S Van Buren Rd, Eden, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jacqueline Wilson Martin |
|---|---|
| Address | 210 S Van Buren Rd, Eden, North Carolina |
| Phone Number | 3365772173 |
| Fax Number | 3365891320 |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1073667226 |
|---|---|
| Provider Enumeration Date | 2007-01-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 210 S Van Buren Rd |
|---|---|
| City | Eden |
| State | North Carolina (NC) |
| Post Code | 272885025 |
| Phone Number | 3365772173 |
| Fax Number | 3365891320 |
Provider's Primary Taxonomy Detail
| Speciality | Lodging |
|---|---|
| Taxonomy | 177F00000X |
| Licence No | FCL-079-037 |
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Definition: A public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7803777 | NC | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Jacqueline Wilson Martin by the Centers for Medicare & Medicaid Services?
The Jacqueline Wilson Martin has been issued the NPI (National Provider Identifier) 1073667226. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Jacqueline Wilson Martin is located?
The Jacqueline Wilson Martin is situated at the following address: 210 S Van Buren Rd, Eden, NC, 272885025.
What is Jacqueline Wilson Martin's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jacqueline Wilson Martin is Lodging, and the corresponding taxonomy classification code for this specialized field is 177F00000X.
On what date was the 1073667226 assigned to Jacqueline Wilson Martin?
The Jacqueline Wilson Martin was issued its 1073667226 on 2007-01-23, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Jacqueline Wilson Martin last refreshed?
The information related to the Jacqueline Wilson Martin, including its address, specialty, and other relevant details, was last updated on 2007-07-08.