Jennifer Takata in Salem - Internal Medicine

Jennifer Takata - NPI 1992724249

Jennifer Takata is a Internal Medicine in Salem, Wisconsin. Jennifer Takata practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Jennifer Takata is 1992724249. The last update date is 2020-01-06.

Jennifer Takata's current location address is 7322 236th Ave, Salem, Wisconsin. You can contact this provider via phone number 2626717560 and fax number 2626717565. The mailing address for Jennifer Takata is 7322 236th Ave, Salem, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Jennifer Takata
Address 7322 236th Ave, Salem, Wisconsin
Phone Number 2626717560
Fax Number 2626717565
Sole Proprietor N
Credentials D.O.

NPI Number Detail

NPI Number 1992724249
Provider Enumeration Date 2006-07-18
Last Updated Date 2020-01-06

Provider Mailing Address Detail

Address 7322 236th Ave
City Salem
State Wisconsin (WI)
Post Code 531689664
Phone Number 2626717560
Fax Number 2626717565

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No 36101361
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
49552-21 WI WI LICENSE

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FAQs about Jennifer Takata

What is the unique provider identifier assigned to Jennifer Takata?

The Jennifer Takata has been issued the NPI (National Provider Identifier) 1992724249 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Where is the Jennifer Takata located?

The Jennifer Takata is located at 7322 236Th Ave, Salem, WI 531689664.

What is the Jennifer Takata's specialty and taxonomy code?

The Jennifer Takata's specialty is Internal Medicine, and the corresponding taxonomy code is 207R00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1992724249 to Jennifer Takata?

The Centers for Medicare & Medicaid Services originally issued the 1992724249 to Jennifer Takata on 2006-07-18.

As of what date was the information pertaining to Jennifer Takata, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Jennifer Takata, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-01-06.

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