Nathan Jerome Wilson in Long Beach - Family Medicine
Nathan Jerome Wilson - NPI 1720053572
Nathan Jerome Wilson is a Family Medicine in Long Beach, California. Nathan Jerome Wilson practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Nathan Jerome Wilson is 1720053572. The last update date is 2015-02-11.
Nathan Jerome Wilson's current location address is 4221 Chestnut Ave, Long Beach, California. You can contact this provider via phone number 3107200758. The mailing address for Nathan Jerome Wilson is 4221 Chestnut Ave, Long Beach, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Nathan Jerome Wilson |
|---|---|
| Address | 4221 Chestnut Ave, Long Beach, California |
| Phone Number | 3107200758 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1720053572 |
|---|---|
| Provider Enumeration Date | 2006-02-22 |
| Last Updated Date | 2015-02-11 |
Provider Mailing Address Detail
| Address | 4221 Chestnut Ave |
|---|---|
| City | Long Beach |
| State | California (CA) |
| Post Code | 908071903 |
| Phone Number | 3107200758 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 20A5796 |
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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 |
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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Nathan Jerome Wilson by the Centers for Medicare & Medicaid Services?
The Nathan Jerome Wilson has been assigned the NPI (National Provider Identifier) 1720053572 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where Nathan Jerome Wilson is geographically located?
The Nathan Jerome Wilson is physically situated at the following location: 4221 Chestnut Ave, Long Beach, CA, 908071903.
What is Nathan Jerome Wilson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Nathan Jerome Wilson is Family Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Q00000X.
On what date was the 1720053572 assigned to Nathan Jerome Wilson?
The Nathan Jerome Wilson was issued its 1720053572 on 2006-02-22, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Nathan Jerome Wilson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Nathan Jerome Wilson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2015-02-11.
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