Travis Dale Nielsen in Pocatello - Family Medicine
Travis Dale Nielsen - NPI 1730340365
Travis Dale Nielsen is a Family Medicine in Pocatello, Idaho. Travis Dale Nielsen practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Travis Dale Nielsen is 1730340365. The last update date is 2011-09-22.
Travis Dale Nielsen's current location address is 1951 Bench Rd, Pocatello, Idaho. You can contact this provider via phone number 2082381000 and fax number 2082380009. The mailing address for Travis Dale Nielsen is 1951 Bench Rd, Pocatello, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Travis Dale Nielsen |
|---|---|
| Address | 1951 Bench Rd, Pocatello, Idaho |
| Phone Number | 2082381000 |
| Fax Number | 2082380009 |
| Sole Proprietor | Y |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1730340365 |
|---|---|
| Provider Enumeration Date | 2008-06-17 |
| Last Updated Date | 2011-09-22 |
Provider Mailing Address Detail
| Address | 1951 Bench Rd |
|---|---|
| City | Pocatello |
| State | Idaho (ID) |
| Post Code | 832012073 |
| Phone Number | 2082381000 |
| Fax Number | 2082380009 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | O-0554 |
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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 |
|---|---|---|---|
| O-0554 | ID | IDAHO BOARD OF MEDICINE REGIST |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Travis Dale Nielsen by the Centers for Medicare & Medicaid Services?
The Travis Dale Nielsen has been issued the NPI (National Provider Identifier) 1730340365 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Travis Dale Nielsen located?
The Travis Dale Nielsen is located at 1951 Bench Rd, Pocatello, ID 832012073.
What is Travis Dale Nielsen's specialized field of practice, and what is the corresponding taxonomy classification code?
The Travis Dale Nielsen's area of specialization is Family Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Q00000X.
On what date did the Travis Dale Nielsen receive its 1730340365 assignment from the Centers for Medicare & Medicaid Services?
The Travis Dale Nielsen was assigned its 1730340365 by the Centers for Medicare & Medicaid Services on 2008-06-17.
When was the information regarding Travis Dale Nielsen, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Travis Dale Nielsen, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2011-09-22.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC