Samuel J Daisley in Andover - Family Medicine

Samuel J Daisley - NPI 1669507505

Samuel J Daisley is a Family Medicine in Andover, Ohio. Samuel J Daisley practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Samuel J Daisley is 1669507505. The last update date is 2009-12-09.

Samuel J Daisley's current location address is 149 E Main St, Andover, Ohio. You can contact this provider via phone number 4402935555 and fax number 4402936643. The mailing address for Samuel J Daisley is 149 E Main St, Andover, Ohio. To know further, please read the information below!

Provider Profile Detail

Provider Name Samuel J Daisley
Address 149 E Main St, Andover, Ohio
Phone Number 4402935555
Fax Number 4402936643
Sole Proprietor N
Credentials D.O.

NPI Number Detail

NPI Number 1669507505
Provider Enumeration Date 2007-02-22
Last Updated Date 2009-12-09

Provider Mailing Address Detail

Address 149 E Main St
City Andover
State Ohio (OH)
Post Code 440039479
Phone Number 4402935555
Fax Number 4402936643

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 34004448
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
92290 PA HIGHMARK BCBS- OH LOCATIO
679930 OH --
1760701 PA HIGHMARK BCBS- PA LOCATIO
137900 OH ANTHEM BCBS

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FAQs about Samuel J Daisley

What is the unique identifier code issued to Samuel J Daisley by the Centers for Medicare & Medicaid Services (CMS)?

The Samuel J Daisley has been assigned the NPI (National Provider Identifier) 1669507505. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you kindly provide the complete physical address where Samuel J Daisley's facilities are geographically located?

The facilities of Samuel J Daisley are physically situated at the following location: 149 E Main St, Andover, OH, 440039479.

What is Samuel J Daisley'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 Samuel J Daisley is Family Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Q00000X.

When did the Samuel J Daisley receive its 1669507505?

The Samuel J Daisley was issued its 1669507505 on 2007-02-22, which is the date when the organization was assigned this unique identifier.

As of what date were the details pertaining to Samuel J Daisley last refreshed?

The information related to the Samuel J Daisley, including its address, specialty, and other relevant details, was last updated on 2009-12-09.

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