Theodore A Waflart in Jasper - Sports Medicine

Theodore A Waflart - NPI 1316039498

Theodore A Waflart is a Sports Medicine in Jasper, Indiana. Theodore A Waflart practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Theodore A Waflart is 1316039498. The last update date is 2010-06-23.

Theodore A Waflart's current location address is Po Box 1028, Jasper, Indiana. You can contact this provider via phone number 8124818493 and fax number 8124818497. The mailing address for Theodore A Waflart is Po Box 1028, Jasper, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Theodore A Waflart
Address Po Box 1028, Jasper, Indiana
Phone Number 8124818493
Fax Number 8124818497
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1316039498
Provider Enumeration Date 2006-09-28
Last Updated Date 2010-06-23

Provider Mailing Address Detail

Address Po Box 1028
City Jasper
State Indiana (IN)
Post Code 475471028
Phone Number 8124818493
Fax Number 8124818497

Provider's Primary Taxonomy Detail

Speciality Sports Medicine
Taxonomy 207Ps0010X
Licence No 01027456A
Definition:
An emergency physician with special knowledge in sports medicine is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention and management of injury and illness.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
10010907A IN --

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FAQs about Theodore A Waflart

What is the unique 10-digit identification code issued to Theodore A Waflart by the Centers for Medicare & Medicaid Services?

The Theodore A Waflart has been assigned the NPI (National Provider Identifier) 1316039498 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Can you provide the Theodore A Waflart's physical address?

The Theodore A Waflart is physically located at Po Box 1028, in the city of Jasper, IN, with the postal code 475471028.

What is the area of specialization for Theodore A Waflart, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Theodore A Waflart is Sports Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Ps0010X.

On what date did Theodore A Waflart receive its 1316039498 assignment from the Centers for Medicare & Medicaid Services?

The Theodore A Waflart was assigned its 1316039498 on 2006-09-28, 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 Theodore A Waflart's details last updated?

The information pertaining to the Theodore A Waflart, including its address, specialty, and other details, was most recently updated on 2010-06-23.

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