Daniel Lee Icenogle in Readstown - Family Medicine
Daniel Lee Icenogle - NPI 1598714016
Daniel Lee Icenogle is a Family Medicine in Readstown, Wisconsin. Daniel Lee Icenogle practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Daniel Lee Icenogle is 1598714016. The last update date is 2013-02-18.
Daniel Lee Icenogle's current location address is S7563 Riley Rd, Readstown, Wisconsin. You can contact this provider via phone number 6086374260 and fax number 6086377492. The mailing address for Daniel Lee Icenogle is S7563 Riley Rd, Readstown, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Daniel Lee Icenogle |
|---|---|
| Address | S7563 Riley Rd, Readstown, Wisconsin |
| Phone Number | 6086374260 |
| Fax Number | 6086377492 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1598714016 |
|---|---|
| Provider Enumeration Date | 2006-05-10 |
| Last Updated Date | 2013-02-18 |
Provider Mailing Address Detail
| Address | S7563 Riley Rd |
|---|---|
| City | Readstown |
| State | Wisconsin (WI) |
| Post Code | 546528030 |
| Phone Number | 6086374260 |
| Fax Number | 6086377492 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 29039 |
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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 |
|---|---|---|---|
| 3136880 | WI | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Daniel Lee Icenogle?
The Daniel Lee Icenogle has been issued the NPI (National Provider Identifier) 1598714016 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Daniel Lee Icenogle's facilities are geographically located?
The facilities of Daniel Lee Icenogle are physically situated at the following location: S7563 Riley Rd, Readstown, WI, 546528030.
What is the Daniel Lee Icenogle's specialty and taxonomy code?
The Daniel Lee Icenogle's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1598714016 to Daniel Lee Icenogle?
The Daniel Lee Icenogle received its 1598714016 assignment from the Centers for Medicare & Medicaid Services on 2006-05-10.
As of what date was the information regarding Daniel Lee Icenogle, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Daniel Lee Icenogle, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2013-02-18.