David Aloysius Ketelaar in Santa Maria - Emergency Medicine

David Aloysius Ketelaar - NPI 1073543542

David Aloysius Ketelaar is a Emergency Medicine in Santa Maria, California. David Aloysius Ketelaar practices all healthcare services and medical treatments related to Emergency Medicine. The NPI Number for David Aloysius Ketelaar is 1073543542. The last update date is 2010-09-09.

David Aloysius Ketelaar's current location address is 1400 E Church St, Santa Maria, California. You can contact this provider via phone number 8057393200 and fax number 8057393064. The mailing address for David Aloysius Ketelaar is 1400 E Church St, Santa Maria, California. To know further, please read the information below!

Provider Profile Detail

Provider Name David Aloysius Ketelaar
Address 1400 E Church St, Santa Maria, California
Phone Number 8057393200
Fax Number 8057393064
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1073543542
Provider Enumeration Date 2006-07-03
Last Updated Date 2010-09-09

Provider Mailing Address Detail

Address 1400 E Church St
City Santa Maria
State California (CA)
Post Code 9345459060
Phone Number 8057393200
Fax Number 8057393064

Provider's Primary Taxonomy Detail

Speciality Emergency Medicine
Taxonomy 207P00000X
Licence No G77236
Definition:
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
00G772360 CA --

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FAQs about David Aloysius Ketelaar

What is the unique 10-digit identifier code assigned to David Aloysius Ketelaar by the Centers for Medicare & Medicaid Services?

The David Aloysius Ketelaar has been issued the NPI (National Provider Identifier) 1073543542 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you share the physical location details of David Aloysius Ketelaar?

The David Aloysius Ketelaar is situated at 1400 E Church St, in the city of Santa Maria, state of CA, with the zip code 9345459060.

What is David Aloysius Ketelaar's area of expertise and its corresponding taxonomy classification?

The David Aloysius Ketelaar's field of specialization is Emergency Medicine, and it falls under the taxonomy code 207P00000X, which categorizes healthcare providers based on their areas of practice.

On what date did David Aloysius Ketelaar receive its 1073543542 assignment from the Centers for Medicare & Medicaid Services?

The David Aloysius Ketelaar was assigned its 1073543542 on 2006-07-03, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to David Aloysius Ketelaar most recently updated or revised?

The details related to David Aloysius Ketelaar, including its address, specialty, and other relevant information, were last updated or revised on 2010-09-09.

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