Tina M Haller-Wade in Rockford - Family Medicine

Tina M Haller-Wade - NPI 1235175498

Tina M Haller-Wade is a Family Medicine in Rockford, Illinois. Tina M Haller-Wade practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Tina M Haller-Wade is 1235175498. The last update date is 2016-11-30.

Tina M Haller-Wade's current location address is 1200 W State St, Rockford, Illinois. You can contact this provider via phone number 8154901600. The mailing address for Tina M Haller-Wade is 1200 W State St, Rockford, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Tina M Haller-Wade
Address 1200 W State St, Rockford, Illinois
Phone Number 8154901600
Fax Number
Sole Proprietor N
Credentials D.O.

NPI Number Detail

NPI Number 1235175498
Provider Enumeration Date 2006-06-22
Last Updated Date 2016-11-30

Provider Mailing Address Detail

Address 1200 W State St
City Rockford
State Illinois (IL)
Post Code 611022112
Phone Number 8154901600
Fax Number

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 5101016834
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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FAQs about Tina M Haller-Wade

What is the unique 10-digit identification code issued to Tina M Haller-Wade by the Centers for Medicare & Medicaid Services?

The Tina M Haller-Wade has been assigned the NPI (National Provider Identifier) 1235175498 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you kindly provide the complete physical address where Tina M Haller-Wade's facilities are geographically located?

The facilities of Tina M Haller-Wade are physically situated at the following location: 1200 W State St, Rockford, IL, 611022112.

What is Tina M Haller-Wade's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Tina M Haller-Wade's specialized field of practice is Family Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Q00000X.

On what date did the Tina M Haller-Wade receive the assignment of its 1235175498 from the Centers for Medicare & Medicaid Services?

The Tina M Haller-Wade was issued its 1235175498 by the Centers for Medicare & Medicaid Services on 2006-06-22.

As of what date was the information regarding Tina M Haller-Wade, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Tina M Haller-Wade, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2016-11-30.

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