George T Poullette in Kenosha - Family Medicine
George T Poullette - NPI 1104933415
George T Poullette is a Family Medicine in Kenosha, Wisconsin. George T Poullette practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for George T Poullette is 1104933415. The last update date is 2023-03-07.
George T Poullette's current location address is 6308 8th Ave, Kenosha, Wisconsin. You can contact this provider via phone number 2625778320 and fax number 2625778321. The mailing address for George T Poullette is 6308 8th Ave, Kenosha, Wisconsin. To know further, please read the information below!
Provider Profile Detail
Provider Name | George T Poullette |
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Address | 6308 8th Ave, Kenosha, Wisconsin |
Phone Number | 2625778320 |
Fax Number | 2625778321 |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1104933415 |
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Provider Enumeration Date | 2006-08-23 |
Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
Address | 6308 8th Ave |
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City | Kenosha |
State | Wisconsin (WI) |
Post Code | 531435031 |
Phone Number | 2625778320 |
Fax Number | 2625778321 |
Provider's Primary Taxonomy Detail
Speciality | Family Medicine |
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Taxonomy | 207Q00000X |
Licence No | 30486 |
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 |
---|---|---|---|
30486-20 | WI | WI LICENSE |
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What is the unique identifier code issued to George T Poullette by the Centers for Medicare & Medicaid Services?
The George T Poullette has been assigned the NPI (National Provider Identifier) 1104933415. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the George T Poullette located?
The George T Poullette is located at 6308 8Th Ave, Kenosha, WI 531435031.
What is George T Poullette's specialized field of practice, and what is the corresponding taxonomy classification code?
The George T Poullette's area of specialization is Family Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Q00000X.
On what date was the 1104933415 assigned to George T Poullette?
The George T Poullette was issued its 1104933415 on 2006-08-23, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the George T Poullette's information last updated?
The George T Poullette's information was last updated on 2023-03-07.
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