Laura M. Distel in Wadsworth - Sports Medicine

Laura M. Distel - NPI 1225156672

Laura M. Distel is a Sports Medicine in Wadsworth, Ohio. Laura M. Distel practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Laura M. Distel is 1225156672. The last update date is 2018-01-18.

Laura M. Distel's current location address is 185 Wadsworth Rd, Wadsworth, Ohio. You can contact this provider via phone number 3303317106 and fax number 3303317556. The mailing address for Laura M. Distel is 185 Wadsworth Rd, Wadsworth, Ohio. To know further, please read the information below!

Provider Profile Detail

Provider Name Laura M. Distel
Address 185 Wadsworth Rd, Wadsworth, Ohio
Phone Number 3303317106
Fax Number 3303317556
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1225156672
Provider Enumeration Date 2007-03-26
Last Updated Date 2018-01-18

Provider Mailing Address Detail

Address 185 Wadsworth Rd
City Wadsworth
State Ohio (OH)
Post Code 442818330
Phone Number 3303317106
Fax Number 3303317556

Provider's Primary Taxonomy Detail

Speciality Sports Medicine
Taxonomy 207Qs0010X
Licence No 35093592
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
3090926 OH --

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FAQs about Laura M. Distel

What is the unique 10-digit identifier code issued to Laura M. Distel by the Centers for Medicare & Medicaid Services?

The Laura M. Distel has been assigned the NPI (National Provider Identifier) 1225156672 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Can you provide the Laura M. Distel's physical address?

The Laura M. Distel is physically located at 185 Wadsworth Rd, in the city of Wadsworth, OH, with the postal code 442818330.

What is Laura M. Distel's area of expertise and its corresponding taxonomy classification?

The Laura M. Distel's field of specialization is Sports Medicine, and it falls under the taxonomy code 207Qs0010X, which categorizes healthcare providers based on their areas of practice.

When did Laura M. Distel receive its 1225156672 assignment?

The Laura M. Distel was assigned its 1225156672 on 2007-03-26, which is the date when this unique identifier was issued to the organization.

When was the Laura M. Distel's information last updated?

The Laura M. Distel's information was last updated on 2018-01-18.

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