Corbin Van De Wege in Kansas City - Family Medicine

Corbin Van De Wege - NPI 1174713564

Corbin Van De Wege is a Family Medicine in Kansas City, Missouri. Corbin Van De Wege practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Corbin Van De Wege is 1174713564. The last update date is 2023-02-02.

Corbin Van De Wege's current location address is Po Box 802843, Kansas City, Missouri. You can contact this provider via phone number 4177306430 and fax number 4172697567. The mailing address for Corbin Van De Wege is Po Box 802843, Kansas City, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Corbin Van De Wege
Address Po Box 802843, Kansas City, Missouri
Phone Number 4177306430
Fax Number 4172697567
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1174713564
Provider Enumeration Date 2007-07-31
Last Updated Date 2023-02-02

Provider Mailing Address Detail

Address Po Box 802843
City Kansas City
State Missouri (MO)
Post Code 641802843
Phone Number 4177306430
Fax Number 4172697567

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 2007018558
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
623949 MO ANTHEM

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FAQs about Corbin Van De Wege

What is the unique identifier code issued to Corbin Van De Wege by the Centers for Medicare & Medicaid Services (CMS)?

The Corbin Van De Wege has been assigned the NPI (National Provider Identifier) 1174713564. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical location address where Corbin Van De Wege's facilities are situated?

The facilities of Corbin Van De Wege are physically located at the following address: Po Box 802843, Kansas City, MO, 641802843.

What is Corbin Van De Wege's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Corbin Van De Wege is Family Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Q00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1174713564 to Corbin Van De Wege?

The Centers for Medicare & Medicaid Services originally issued the 1174713564 to Corbin Van De Wege on 2007-07-31.

As of what date were the details pertaining to Corbin Van De Wege last refreshed?

The information related to the Corbin Van De Wege, including its address, specialty, and other relevant details, was last updated on 2023-02-02.

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