Nichole Michelle Churchman in Leesville - Family Medicine
Nichole Michelle Churchman - NPI 1700916095
Nichole Michelle Churchman is a Family Medicine in Leesville, Louisiana. Nichole Michelle Churchman practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Nichole Michelle Churchman is 1700916095. The last update date is 2013-07-15.
Nichole Michelle Churchman's current location address is 1017 W Fertitta Blvd, Leesville, Louisiana. You can contact this provider via phone number 3372384511 and fax number 3372384513. The mailing address for Nichole Michelle Churchman is 1017 W Fertitta Blvd, Leesville, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Nichole Michelle Churchman |
|---|---|
| Address | 1017 W Fertitta Blvd, Leesville, Louisiana |
| Phone Number | 3372384511 |
| Fax Number | 3372384513 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1700916095 |
|---|---|
| Provider Enumeration Date | 2007-03-06 |
| Last Updated Date | 2013-07-15 |
Provider Mailing Address Detail
| Address | 1017 W Fertitta Blvd |
|---|---|
| City | Leesville |
| State | Louisiana (LA) |
| Post Code | 714464646 |
| Phone Number | 3372384511 |
| Fax Number | 3372384513 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | MD200337 |
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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 |
|---|---|---|---|
| 1073776 | LA | -- |
Post Comment/ Review Below
What is the Nichole Michelle Churchman's unique identification number?
The Nichole Michelle Churchman has been assigned the NPI (National Provider Identifier) Number 1700916095 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Nichole Michelle Churchman is physically located?
The Nichole Michelle Churchman is physically situated at the following address: 1017 W Fertitta Blvd, Leesville, LA, 714464646.
What is Nichole Michelle Churchman's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Nichole Michelle Churchman'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 Nichole Michelle Churchman receive the assignment of its 1700916095 from the Centers for Medicare & Medicaid Services?
The Nichole Michelle Churchman was issued its 1700916095 by the Centers for Medicare & Medicaid Services on 2007-03-06.
When was the Nichole Michelle Churchman's information last updated?
The Nichole Michelle Churchman's information was last updated on 2013-07-15.
NPI Number: 1124025044
Address: 9244 W Atlantic Blvd Apt 1238, Coral Springs, FL