Allen W. Vander is a Nephrology in Thibodaux, Louisiana. Allen W. Vander practices all healthcare services and medical treatments related to Nephrology. The NPI Number for Allen W. Vander is 1669473054. The last update date is 2009-09-25.
Allen W. Vander's current location address is 604 N. Acadia Rd., Thibodaux, Louisiana. You can contact this provider via phone number 9854460871 and fax number 9854460874. The mailing address for Allen W. Vander is 604 N. Acadia Rd., Thibodaux, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Allen W. Vander |
|---|---|
| Address | 604 N. Acadia Rd., Thibodaux, Louisiana |
| Phone Number | 9854460871 |
| Fax Number | 9854460874 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1669473054 |
|---|---|
| Provider Enumeration Date | 2005-08-09 |
| Last Updated Date | 2009-09-25 |
Provider Mailing Address Detail
| Address | 604 N. Acadia Rd. |
|---|---|
| City | Thibodaux |
| State | Louisiana (LA) |
| Post Code | 70301 |
| Phone Number | 9854460871 |
| Fax Number | 9854460874 |
Provider's Primary Taxonomy Detail
| Speciality | Nephrology |
|---|---|
| Taxonomy | 207Rn0300X |
| Licence No | 24441 |
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Definition: An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7394444 | AETNA | ||
| 1570796 | LA | -- |
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What is the unique identifier code issued to Allen W. Vander by the Centers for Medicare & Medicaid Services?
The Allen W. Vander has been assigned the NPI (National Provider Identifier) 1669473054. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Allen W. Vander located?
The Allen W. Vander is located at 604 N. Acadia Rd., Thibodaux, LA 70301.
What is the Allen W. Vander's area of specialization and corresponding taxonomy classification?
The Allen W. Vander's specialty field is Nephrology, and it falls under the taxonomy code 207Rn0300X, which categorizes healthcare providers based on their specialties.
On what date did the Allen W. Vander receive the assignment of its 1669473054 from the Centers for Medicare & Medicaid Services?
The Allen W. Vander was issued its 1669473054 by the Centers for Medicare & Medicaid Services on 2005-08-09.
As of what date were the details pertaining to Allen W. Vander last refreshed?
The information related to the Allen W. Vander, including its address, specialty, and other relevant details, was last updated on 2009-09-25.
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