Charles R Leadholm in Oak Creek - Emergency Medical Services
Charles R Leadholm - NPI 1194787846
Charles R Leadholm is a Emergency Medical Services in Oak Creek, Wisconsin. Charles R Leadholm practices all healthcare services and medical treatments related to Emergency Medical Services. The NPI Number for Charles R Leadholm is 1194787846. The last update date is 2007-07-08.
Charles R Leadholm's current location address is 7071 S 13th St, Oak Creek, Wisconsin. You can contact this provider via phone number 4145707106 and fax number 4145707136. The mailing address for Charles R Leadholm is 7071 S 13th St, Oak Creek, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles R Leadholm |
|---|---|
| Address | 7071 S 13th St, Oak Creek, Wisconsin |
| Phone Number | 4145707106 |
| Fax Number | 4145707136 |
| Sole Proprietor | X |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1194787846 |
|---|---|
| Provider Enumeration Date | 2006-04-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 7071 S 13th St |
|---|---|
| City | Oak Creek |
| State | Wisconsin (WI) |
| Post Code | 531541466 |
| Phone Number | 4145707106 |
| Fax Number | 4145707136 |
Provider's Primary Taxonomy Detail
| Speciality | Emergency Medical Services |
|---|---|
| Taxonomy | 207Pe0004X |
| Licence No | 20148 |
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Definition: An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 30775700 | WI | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Charles R Leadholm by the Centers for Medicare & Medicaid Services?
The Charles R Leadholm has been issued the NPI (National Provider Identifier) 1194787846. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Charles R Leadholm is physically located?
The Charles R Leadholm is physically situated at the following address: 7071 S 13Th St, Oak Creek, WI, 531541466.
What is Charles R Leadholm's area of expertise and its corresponding taxonomy classification?
The Charles R Leadholm's field of specialization is Emergency Medical Services, and it falls under the taxonomy code 207Pe0004X, which categorizes healthcare providers based on their areas of practice.
On what date did Charles R Leadholm receive its 1194787846 assignment from the Centers for Medicare & Medicaid Services?
The Charles R Leadholm was assigned its 1194787846 on 2006-04-06, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Charles R Leadholm most recently updated or revised?
The details related to Charles R Leadholm, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.