Jeremy David Close in Philadelphia - Sports Medicine
Jeremy David Close - NPI 1114049566
Jeremy David Close is a Sports Medicine in Philadelphia, Pennsylvania. Jeremy David Close practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Jeremy David Close is 1114049566. The last update date is 2015-06-22.
Jeremy David Close's current location address is 833 Chestnut Street, Philadelphia, Pennsylvania. You can contact this provider via phone number 2673397839 and fax number 2673393761. The mailing address for Jeremy David Close is 833 Chestnut Street, Philadelphia, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeremy David Close |
|---|---|
| Address | 833 Chestnut Street, Philadelphia, Pennsylvania |
| Phone Number | 2673397839 |
| Fax Number | 2673393761 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1114049566 |
|---|---|
| Provider Enumeration Date | 2007-04-05 |
| Last Updated Date | 2015-06-22 |
Provider Mailing Address Detail
| Address | 833 Chestnut Street |
|---|---|
| City | Philadelphia |
| State | Pennsylvania (PA) |
| Post Code | 191074405 |
| Phone Number | 2673397839 |
| Fax Number | 2673393761 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Qs0010X |
| Licence No | MD435873 |
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Definition: A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 102521117 | PA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Jeremy David Close by the Centers for Medicare & Medicaid Services?
The Jeremy David Close has been assigned the NPI (National Provider Identifier) 1114049566 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Jeremy David Close's facilities are situated?
The facilities of Jeremy David Close are physically located at the following address: 833 Chestnut Street, Philadelphia, PA, 191074405.
What is Jeremy David Close's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jeremy David Close's area of specialization is Sports Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Qs0010X.
On what date did the Jeremy David Close receive its 1114049566 assignment from the Centers for Medicare & Medicaid Services?
The Jeremy David Close was assigned its 1114049566 by the Centers for Medicare & Medicaid Services on 2007-04-05.
When was the information pertaining to Jeremy David Close most recently updated or revised?
The details related to Jeremy David Close, including its address, specialty, and other relevant information, were last updated or revised on 2015-06-22.