Ty R Vincent is a Family Medicine in Wasilla, Alaska. Ty R Vincent practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Ty R Vincent is 1578578183. The last update date is 2007-07-08.
Ty R Vincent's current location address is 1700 Bogard Rd Ste 100, Wasilla, Alaska. You can contact this provider via phone number 9073526200 and fax number 9073730725. The mailing address for Ty R Vincent is 1700 Bogard Rd Ste 100, Wasilla, Alaska. To know further, please read the information below!
Provider Profile Detail
Provider Name | Ty R Vincent |
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Address | 1700 Bogard Rd Ste 100, Wasilla, Alaska |
Phone Number | 9073526200 |
Fax Number | 9073730725 |
Sole Proprietor | Y |
Credentials | MD |
NPI Number Detail
NPI Number | 1578578183 |
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Provider Enumeration Date | 2006-07-30 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 1700 Bogard Rd Ste 100 |
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City | Wasilla |
State | Alaska (AK) |
Post Code | 996546563 |
Phone Number | 9073526200 |
Fax Number | 9073730725 |
Provider's Primary Taxonomy Detail
Speciality | Family Medicine |
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Taxonomy | 207Q00000X |
Licence No | 5545 |
Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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MD61582 | AK | -- |
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What is the unique identifier code issued to Ty R Vincent by the Centers for Medicare & Medicaid Services?
The Ty R Vincent has been assigned the NPI (National Provider Identifier) 1578578183. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Ty R Vincent's physical address?
The Ty R Vincent is physically located at 1700 Bogard Rd Ste 100, in the city of Wasilla, AK, with the postal code 996546563.
What is the Ty R Vincent's area of specialization and corresponding taxonomy classification?
The Ty R Vincent's specialty field is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1578578183 to Ty R Vincent?
The Centers for Medicare & Medicaid Services originally issued the 1578578183 to Ty R Vincent on 2006-07-30.
As of what date was the information pertaining to Ty R Vincent, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Ty R Vincent, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
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