Mark Edward Shirley in Blair - Sports Medicine
Mark Edward Shirley - NPI 1578504528
Mark Edward Shirley is a Sports Medicine in Blair, Nebraska. Mark Edward Shirley practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Mark Edward Shirley is 1578504528. The last update date is 2018-05-23.
Mark Edward Shirley's current location address is 810 N 22nd St, Blair, Nebraska. You can contact this provider via phone number 4024262182 and fax number 4024261190. The mailing address for Mark Edward Shirley is 810 N 22nd St, Blair, Nebraska. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Edward Shirley |
|---|---|
| Address | 810 N 22nd St, Blair, Nebraska |
| Phone Number | 4024262182 |
| Fax Number | 4024261190 |
| Sole Proprietor | N |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1578504528 |
|---|---|
| Provider Enumeration Date | 2006-06-09 |
| Last Updated Date | 2018-05-23 |
Provider Mailing Address Detail
| Address | 810 N 22nd St |
|---|---|
| City | Blair |
| State | Nebraska (NE) |
| Post Code | 680081128 |
| Phone Number | 4024262182 |
| Fax Number | 4024261190 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Qs0010X |
| Licence No | 179 |
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Definition: A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Mark Edward Shirley by the Centers for Medicare & Medicaid Services?
The Mark Edward Shirley has been issued the NPI (National Provider Identifier) 1578504528 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Mark Edward Shirley is geographically located?
The Mark Edward Shirley is physically situated at the following location: 810 N 22Nd St, Blair, NE, 680081128.
What is the Mark Edward Shirley's area of specialization and corresponding taxonomy classification?
The Mark Edward Shirley's specialty field is Sports Medicine, and it falls under the taxonomy code 207Qs0010X, which categorizes healthcare providers based on their specialties.
On what date did Mark Edward Shirley receive its 1578504528 assignment from the Centers for Medicare & Medicaid Services?
The Mark Edward Shirley was assigned its 1578504528 on 2006-06-09, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Mark Edward Shirley last refreshed?
The information related to the Mark Edward Shirley, including its address, specialty, and other relevant details, was last updated on 2018-05-23.
NPI Number: 1730182858
Address: 40 Old Lancaster Rd Apt 412, Merion Station, PA