Ellen Betty Kruusmagi in Santa Rosa - Family Medicine
Ellen Betty Kruusmagi - NPI 1003831793
Ellen Betty Kruusmagi is a Family Medicine in Santa Rosa, California. Ellen Betty Kruusmagi practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Ellen Betty Kruusmagi is 1003831793. The last update date is 2013-04-18.
Ellen Betty Kruusmagi's current location address is 144 Stony Point Rd, Santa Rosa, California. You can contact this provider via phone number 7075214500 and fax number 7075444626. The mailing address for Ellen Betty Kruusmagi is 144 Stony Point Rd, Santa Rosa, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ellen Betty Kruusmagi |
|---|---|
| Address | 144 Stony Point Rd, Santa Rosa, California |
| Phone Number | 7075214500 |
| Fax Number | 7075444626 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1003831793 |
|---|---|
| Provider Enumeration Date | 2006-07-13 |
| Last Updated Date | 2013-04-18 |
Provider Mailing Address Detail
| Address | 144 Stony Point Rd |
|---|---|
| City | Santa Rosa |
| State | California (CA) |
| Post Code | 95401 |
| Phone Number | 7075214500 |
| Fax Number | 7075444626 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | G61813 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00G618130 | CA | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Ellen Betty Kruusmagi by the Centers for Medicare & Medicaid Services?
The Ellen Betty Kruusmagi has been issued the NPI (National Provider Identifier) 1003831793. 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 physical location address of Ellen Betty Kruusmagi?
The Ellen Betty Kruusmagi is physically situated at 144 Stony Point Rd, in the city of Santa Rosa, state of CA, with the postal code 95401.
What is Ellen Betty Kruusmagi's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Ellen Betty Kruusmagi is Family Medicine, and the taxonomy code that categorizes this field of expertise is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1003831793 to Ellen Betty Kruusmagi?
The Centers for Medicare & Medicaid Services originally issued the 1003831793 to Ellen Betty Kruusmagi on 2006-07-13.
When was the information regarding Ellen Betty Kruusmagi, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Ellen Betty Kruusmagi, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2013-04-18.
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