Reginald A Ebirim in New London - Family Medicine
Reginald A Ebirim - NPI 1396702957
Reginald A Ebirim is a Family Medicine in New London, Wisconsin. Reginald A Ebirim practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Reginald A Ebirim is 1396702957. The last update date is 2018-03-17.
Reginald A Ebirim's current location address is 1405 Mill St, New London, Wisconsin. You can contact this provider via phone number 9205312000 and fax number 9205312098. The mailing address for Reginald A Ebirim is 1405 Mill St, New London, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Reginald A Ebirim |
|---|---|
| Address | 1405 Mill St, New London, Wisconsin |
| Phone Number | 9205312000 |
| Fax Number | 9205312098 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1396702957 |
|---|---|
| Provider Enumeration Date | 2006-04-27 |
| Last Updated Date | 2018-03-17 |
Provider Mailing Address Detail
| Address | 1405 Mill St |
|---|---|
| City | New London |
| State | Wisconsin (WI) |
| Post Code | 549612155 |
| Phone Number | 9205312000 |
| Fax Number | 9205312098 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 36113328 |
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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 |
|---|---|---|---|
| 36113328 | IL | -- | |
| 036113328-6 | IL | -- |
Post Comment/ Review Below
What is the Reginald A Ebirim's unique identification number?
The Reginald A Ebirim has been assigned the NPI (National Provider Identifier) Number 1396702957 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Reginald A Ebirim located?
The Reginald A Ebirim is located at 1405 Mill St, New London, WI 549612155.
What is Reginald A Ebirim'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 Reginald A Ebirim is Family Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Q00000X.
On what date was the 1396702957 assigned to Reginald A Ebirim?
The Reginald A Ebirim was issued its 1396702957 on 2006-04-27, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Reginald A Ebirim's information last updated?
The Reginald A Ebirim's information was last updated on 2018-03-17.