Brent Alan Haskell in Canon City - Neuromusculoskeletal Medicine & Omm

Brent Alan Haskell - NPI 1639131220

Brent Alan Haskell is a Neuromusculoskeletal Medicine & Omm in Canon City, Colorado. Brent Alan Haskell practices all healthcare services and medical treatments related to Neuromusculoskeletal Medicine & Omm. The NPI Number for Brent Alan Haskell is 1639131220. The last update date is 2012-12-07.

Brent Alan Haskell's current location address is 1338 Phay Ave, Canon City, Colorado. You can contact this provider via phone number 7192852646 and fax number 7192852647. The mailing address for Brent Alan Haskell is 1338 Phay Ave, Canon City, Colorado. To know further, please read the information below!

Provider Profile Detail

Provider Name Brent Alan Haskell
Address 1338 Phay Ave, Canon City, Colorado
Phone Number 7192852646
Fax Number 7192852647
Sole Proprietor N
Credentials D.O.

NPI Number Detail

NPI Number 1639131220
Provider Enumeration Date 2006-04-06
Last Updated Date 2012-12-07

Provider Mailing Address Detail

Address 1338 Phay Ave
City Canon City
State Colorado (CO)
Post Code 812122302
Phone Number 7192852646
Fax Number 7192852647

Provider's Primary Taxonomy Detail

Speciality Neuromusculoskeletal Medicine & Omm
Taxonomy 204D00000X
Licence No 34749
Definition:
The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Med

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
13329 CO CO ANTHEM PIN
89F14HA CO BCBS OF MINN. PIN
P00027804 CO RAILROAD MEDICARE PIN

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FAQs about Brent Alan Haskell

What is the unique 10-digit identifier code issued to Brent Alan Haskell by the Centers for Medicare & Medicaid Services?

The Brent Alan Haskell has been assigned the NPI (National Provider Identifier) 1639131220 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Brent Alan Haskell?

The Brent Alan Haskell is physically situated at 1338 Phay Ave, in the city of Canon City, state of CO, with the postal code 812122302.

What is the Brent Alan Haskell's specialty and taxonomy code?

The Brent Alan Haskell's specialty is Neuromusculoskeletal Medicine & Omm, and the corresponding taxonomy code is 204D00000X.

On what date did the Brent Alan Haskell receive its 1639131220 assignment from the Centers for Medicare & Medicaid Services?

The Brent Alan Haskell was assigned its 1639131220 by the Centers for Medicare & Medicaid Services on 2006-04-06.

As of what date were the details related to Brent Alan Haskell most recently updated or revised?

The information pertaining to Brent Alan Haskell, including its address, specialty, and other relevant details, was last updated or revised on 2012-12-07.

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