Luisa T Manestar in Crossville - Family Medicine
Luisa T Manestar - NPI 1851426621
Luisa T Manestar is a Family Medicine in Crossville, Tennessee. Luisa T Manestar practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Luisa T Manestar is 1851426621. The last update date is 2012-09-19.
Luisa T Manestar's current location address is 1645 S Main St, Crossville, Tennessee. You can contact this provider via phone number 9314847531 and fax number 9314569515. The mailing address for Luisa T Manestar is 1645 S Main St, Crossville, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Luisa T Manestar |
|---|---|
| Address | 1645 S Main St, Crossville, Tennessee |
| Phone Number | 9314847531 |
| Fax Number | 9314569515 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1851426621 |
|---|---|
| Provider Enumeration Date | 2007-02-22 |
| Last Updated Date | 2012-09-19 |
Provider Mailing Address Detail
| Address | 1645 S Main St |
|---|---|
| City | Crossville |
| State | Tennessee (TN) |
| Post Code | 385552908 |
| Phone Number | 9314847531 |
| Fax Number | 9314569515 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 48768 |
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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 |
|---|---|---|---|
| 48768 | TN | TN STATE MEDICAL LICENSE | |
| 4330620 | TN | BLUE CROSS BLUE SHIELD | |
| 455420558 | TN | TRICARE |
Post Comment/ Review Below
What is the Luisa T Manestar's 1851426621?
The Luisa T Manestar's NPI (National Provider Identifier) Number is 1851426621. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Luisa T Manestar's physical address?
The Luisa T Manestar is physically located at 1645 S Main St, in the city of Crossville, TN, with the postal code 385552908.
What is Luisa T Manestar's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Luisa T Manestar is Family Medicine, and the taxonomy code that classifies this field of practice is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1851426621 to Luisa T Manestar?
The Centers for Medicare & Medicaid Services originally issued the 1851426621 to Luisa T Manestar on 2007-02-22.
When was the information pertaining to Luisa T Manestar most recently updated or revised?
The details related to Luisa T Manestar, including its address, specialty, and other relevant information, were last updated or revised on 2012-09-19.