Karen Lea Eldevick in Green Bay - Adult Medicine
Karen Lea Eldevick - NPI 1962493718
Karen Lea Eldevick is a Adult Medicine in Green Bay, Wisconsin. Karen Lea Eldevick practices all healthcare services and medical treatments related to Adult Medicine. The NPI Number for Karen Lea Eldevick is 1962493718. The last update date is 2018-11-02.
Karen Lea Eldevick's current location address is Po Box 1866, Green Bay, Wisconsin. You can contact this provider via phone number 9204457222 and fax number 9204457289. The mailing address for Karen Lea Eldevick is Po Box 1866, Green Bay, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Karen Lea Eldevick |
|---|---|
| Address | Po Box 1866, Green Bay, Wisconsin |
| Phone Number | 9204457222 |
| Fax Number | 9204457289 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1962493718 |
|---|---|
| Provider Enumeration Date | 2005-11-01 |
| Last Updated Date | 2018-11-02 |
Provider Mailing Address Detail
| Address | Po Box 1866 |
|---|---|
| City | Green Bay |
| State | Wisconsin (WI) |
| Post Code | 543051866 |
| Phone Number | 9204457222 |
| Fax Number | 9204457289 |
Provider's Primary Taxonomy Detail
| Speciality | Adult Medicine |
|---|---|
| Taxonomy | 207Qa0505X |
| Licence No | 64279-20 |
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Definition: The NUCC recommends this code not be used. Choose a more appropriate code. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 80036025 | MI | RAILROAD MEDICARE | |
| 2674383 | MI | -- | |
| KE051670 | MI | BCBS OF MICHIGAN |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Karen Lea Eldevick by the Centers for Medicare & Medicaid Services?
The Karen Lea Eldevick has been assigned the NPI (National Provider Identifier) 1962493718 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Karen Lea Eldevick?
The Karen Lea Eldevick is situated at Po Box 1866, in the city of Green Bay, state of WI, with the zip code 543051866.
What is the Karen Lea Eldevick's area of specialization and corresponding taxonomy classification?
The Karen Lea Eldevick's specialty field is Adult Medicine, and it falls under the taxonomy code 207Qa0505X, which categorizes healthcare providers based on their specialties.
On what date was the 1962493718 assigned to Karen Lea Eldevick?
The Karen Lea Eldevick was issued its 1962493718 on 2005-11-01, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Karen Lea Eldevick most recently updated or revised?
The information pertaining to Karen Lea Eldevick, including its address, specialty, and other relevant details, was last updated or revised on 2018-11-02.