Etienne A. Mejia in Appleton - Sports Medicine
Etienne A. Mejia - NPI 1184648131
Etienne A. Mejia is a Sports Medicine in Appleton, Wisconsin. Etienne A. Mejia practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Etienne A. Mejia is 1184648131. The last update date is 2007-07-08.
Etienne A. Mejia's current location address is 277 Altenhofen Dr, Appleton, Wisconsin. You can contact this provider via phone number 9209931643 and fax number 9209931645. The mailing address for Etienne A. Mejia is 277 Altenhofen Dr, Appleton, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Etienne A. Mejia |
|---|---|
| Address | 277 Altenhofen Dr, Appleton, Wisconsin |
| Phone Number | 9209931643 |
| Fax Number | 9209931645 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1184648131 |
|---|---|
| Provider Enumeration Date | 2006-07-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 277 Altenhofen Dr |
|---|---|
| City | Appleton |
| State | Wisconsin (WI) |
| Post Code | 549138401 |
| Phone Number | 9209931643 |
| Fax Number | 9209931645 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Xx0005X |
| Licence No | 41224 |
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Definition: An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, train |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 391821816017 | WI | BC/BS |
Post Comment/ Review Below
What is the unique provider identifier assigned to Etienne A. Mejia?
The Etienne A. Mejia has been issued the NPI (National Provider Identifier) 1184648131 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Etienne A. Mejia is located?
The Etienne A. Mejia is situated at the following address: 277 Altenhofen Dr, Appleton, WI, 549138401.
What is the area of specialization for Etienne A. Mejia, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Etienne A. Mejia is Sports Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Xx0005X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1184648131 to Etienne A. Mejia?
The Centers for Medicare & Medicaid Services originally issued the 1184648131 to Etienne A. Mejia on 2006-07-26.
When was the information related to Etienne A. Mejia most recently updated or refreshed?
The details pertaining to the Etienne A. Mejia, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.