Joseph Edgar Trader in Manitowoc - Orthopaedic Surgery

Joseph Edgar Trader - NPI 1164513123

Joseph Edgar Trader is a Orthopaedic Surgery in Manitowoc, Wisconsin. Joseph Edgar Trader practices all healthcare services and medical treatments related to Orthopaedic Surgery. The NPI Number for Joseph Edgar Trader is 1164513123. The last update date is 2011-10-10.

Joseph Edgar Trader's current location address is Po Box 907, Manitowoc, Wisconsin. You can contact this provider via phone number 9206826376 and fax number 9206826778. The mailing address for Joseph Edgar Trader is Po Box 907, Manitowoc, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Joseph Edgar Trader
Address Po Box 907, Manitowoc, Wisconsin
Phone Number 9206826376
Fax Number 9206826778
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1164513123
Provider Enumeration Date 2006-09-27
Last Updated Date 2011-10-10

Provider Mailing Address Detail

Address Po Box 907
City Manitowoc
State Wisconsin (WI)
Post Code 542210907
Phone Number 9206826376
Fax Number 9206826778

Provider's Primary Taxonomy Detail

Speciality Orthopaedic Surgery
Taxonomy 207X00000X
Licence No 18035
Definition:
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the car

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
30171800 WI --
200010934 WI RAILROAD MEDICARE

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FAQs about Joseph Edgar Trader

What is the Joseph Edgar Trader's 1164513123?

The Joseph Edgar Trader's NPI (National Provider Identifier) Number is 1164513123. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Joseph Edgar Trader's facilities are situated?

The facilities of Joseph Edgar Trader are physically located at the following address: Po Box 907, Manitowoc, WI, 542210907.

What is the Joseph Edgar Trader's specialty and taxonomy code?

The Joseph Edgar Trader's specialty is Orthopaedic Surgery, and the corresponding taxonomy code is 207X00000X.

On what date did Joseph Edgar Trader receive its 1164513123 assignment from the Centers for Medicare & Medicaid Services?

The Joseph Edgar Trader was assigned its 1164513123 on 2006-09-27, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the Joseph Edgar Trader's details last updated?

The information pertaining to the Joseph Edgar Trader, including its address, specialty, and other details, was most recently updated on 2011-10-10.

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