Austin Frank Bacchus in Lake Geneva - Family Medicine
Austin Frank Bacchus - NPI 1225258171
Austin Frank Bacchus is a Family Medicine in Lake Geneva, Wisconsin. Austin Frank Bacchus practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Austin Frank Bacchus is 1225258171. The last update date is 2021-12-03.
Austin Frank Bacchus's current location address is 146 E Geneva Sq, Lake Geneva, Wisconsin. You can contact this provider via phone number 2622494660. The mailing address for Austin Frank Bacchus is 146 E Geneva Sq, Lake Geneva, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Austin Frank Bacchus |
|---|---|
| Address | 146 E Geneva Sq, Lake Geneva, Wisconsin |
| Phone Number | 2622494660 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1225258171 |
|---|---|
| Provider Enumeration Date | 2007-04-25 |
| Last Updated Date | 2021-12-03 |
Provider Mailing Address Detail
| Address | 146 E Geneva Sq |
|---|---|
| City | Lake Geneva |
| State | Wisconsin (WI) |
| Post Code | 531479694 |
| Phone Number | 2622494660 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 50490 |
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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 |
|---|---|---|---|
| 34790900 | WI | -- |
Post Comment/ Review Below
What is the Austin Frank Bacchus's unique identification number?
The Austin Frank Bacchus has been assigned the NPI (National Provider Identifier) Number 1225258171 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Austin Frank Bacchus?
The Austin Frank Bacchus is situated at 146 E Geneva Sq, in the city of Lake Geneva, state of WI, with the zip code 531479694.
What is the Austin Frank Bacchus's area of specialization and corresponding taxonomy classification?
The Austin Frank Bacchus's specialty field is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their specialties.
On what date did Austin Frank Bacchus receive its 1225258171 assignment from the Centers for Medicare & Medicaid Services?
The Austin Frank Bacchus was assigned its 1225258171 on 2007-04-25, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Austin Frank Bacchus's information last updated?
The Austin Frank Bacchus's information was last updated on 2021-12-03.