Jelena A Licina in Maplewood - Internal Medicine
Jelena A Licina - NPI 1316921687
Jelena A Licina is a Internal Medicine in Maplewood, Minnesota. Jelena A Licina practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Jelena A Licina is 1316921687. The last update date is 2023-06-22.
Jelena A Licina's current location address is 1575 Beam Ave, Maplewood, Minnesota. You can contact this provider via phone number 6512322000. The mailing address for Jelena A Licina is 1575 Beam Ave, Maplewood, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jelena A Licina |
|---|---|
| Address | 1575 Beam Ave, Maplewood, Minnesota |
| Phone Number | 6512322000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1316921687 |
|---|---|
| Provider Enumeration Date | 2005-12-01 |
| Last Updated Date | 2023-06-22 |
Provider Mailing Address Detail
| Address | 1575 Beam Ave |
|---|---|
| City | Maplewood |
| State | Minnesota (MN) |
| Post Code | 551091126 |
| Phone Number | 6512322000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | ME 88772 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 268901400 | FL | -- | |
| 59135727 | CO | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jelena A Licina by the Centers for Medicare & Medicaid Services?
The Jelena A Licina has been issued the NPI (National Provider Identifier) 1316921687 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Jelena A Licina?
The Jelena A Licina is physically situated at 1575 Beam Ave, in the city of Maplewood, state of MN, with the postal code 551091126.
What is Jelena A Licina's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jelena A Licina is Internal Medicine, and the taxonomy code that classifies this field of practice is 207R00000X.
On what date did the Jelena A Licina receive its 1316921687 assignment from the Centers for Medicare & Medicaid Services?
The Jelena A Licina was assigned its 1316921687 by the Centers for Medicare & Medicaid Services on 2005-12-01.
When was the information regarding Jelena A Licina, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Jelena A Licina, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2023-06-22.