Mark Hallett is a Sports Medicine in Appleton, Wisconsin. Mark Hallett practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Mark Hallett is 1629098504. The last update date is 2011-02-02.
Mark Hallett's current location address is Po Box 8003, Appleton, Wisconsin. You can contact this provider via phone number 9209963298 and fax number 9207385787. The mailing address for Mark Hallett is Po Box 8003, Appleton, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Hallett |
|---|---|
| Address | Po Box 8003, Appleton, Wisconsin |
| Phone Number | 9209963298 |
| Fax Number | 9207385787 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1629098504 |
|---|---|
| Provider Enumeration Date | 2006-07-20 |
| Last Updated Date | 2011-02-02 |
Provider Mailing Address Detail
| Address | Po Box 8003 |
|---|---|
| City | Appleton |
| State | Wisconsin (WI) |
| Post Code | 549128003 |
| Phone Number | 9209963298 |
| Fax Number | 9207385787 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Qs0010X |
| Licence No | 34228 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 31944600 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Mark Hallett by the Centers for Medicare & Medicaid Services?
The Mark Hallett has been assigned the NPI (National Provider Identifier) 1629098504 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Mark Hallett's facilities are situated?
The facilities of Mark Hallett are physically located at the following address: Po Box 8003, Appleton, WI, 549128003.
What is Mark Hallett's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Mark Hallett is Sports Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Qs0010X.
When did Mark Hallett receive its 1629098504 assignment?
The Mark Hallett was assigned its 1629098504 on 2006-07-20, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Mark Hallett, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Mark Hallett, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2011-02-02.
NPI Number: 1063415297
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