Richard K Niccum in Fort Wayne - Emergency Medicine
Richard K Niccum - NPI 1417907122
Richard K Niccum is a Emergency Medicine in Fort Wayne, Indiana. Richard K Niccum practices all healthcare services and medical treatments related to Emergency Medicine. The NPI Number for Richard K Niccum is 1417907122. The last update date is 2013-05-22.
Richard K Niccum's current location address is 2121 Lake Ave, Fort Wayne, Indiana. You can contact this provider via phone number 2604265431. The mailing address for Richard K Niccum is 2121 Lake Ave, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Richard K Niccum |
|---|---|
| Address | 2121 Lake Ave, Fort Wayne, Indiana |
| Phone Number | 2604265431 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1417907122 |
|---|---|
| Provider Enumeration Date | 2006-05-11 |
| Last Updated Date | 2013-05-22 |
Provider Mailing Address Detail
| Address | 2121 Lake Ave |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 4680551000 |
| Phone Number | 2604265431 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Emergency Medicine |
|---|---|
| Taxonomy | 207P00000X |
| Licence No | 01037769A |
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Definition: An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200210570 | IN | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Richard K Niccum by the Centers for Medicare & Medicaid Services?
The Richard K Niccum has been issued the NPI (National Provider Identifier) 1417907122. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Richard K Niccum located?
The Richard K Niccum is located at 2121 Lake Ave, Fort Wayne, IN 4680551000.
What is Richard K Niccum's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Richard K Niccum is Emergency Medicine, and the corresponding taxonomy classification code for this specialized field is 207P00000X.
When was the Richard K Niccum's 1417907122 issued?
The Richard K Niccum's 1417907122 was issued on 2006-05-11.
As of what date were the details related to Richard K Niccum most recently updated or revised?
The information pertaining to Richard K Niccum, including its address, specialty, and other relevant details, was last updated or revised on 2013-05-22.
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