Michael John Haderlie in Chubbuck - Nephrology
Michael John Haderlie - NPI 1700083813
Michael John Haderlie is a Nephrology in Chubbuck, Idaho. Michael John Haderlie practices all healthcare services and medical treatments related to Nephrology. The NPI Number for Michael John Haderlie is 1700083813. The last update date is 2022-12-08.
Michael John Haderlie's current location address is 4511 Zebe Ave, Chubbuck, Idaho. You can contact this provider via phone number 2089044780 and fax number 2089044832. The mailing address for Michael John Haderlie is 4511 Zebe Ave, Chubbuck, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael John Haderlie |
|---|---|
| Address | 4511 Zebe Ave, Chubbuck, Idaho |
| Phone Number | 2089044780 |
| Fax Number | 2089044832 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1700083813 |
|---|---|
| Provider Enumeration Date | 2007-07-02 |
| Last Updated Date | 2022-12-08 |
Provider Mailing Address Detail
| Address | 4511 Zebe Ave |
|---|---|
| City | Chubbuck |
| State | Idaho (ID) |
| Post Code | 832024707 |
| Phone Number | 2089044780 |
| Fax Number | 2089044832 |
Provider's Primary Taxonomy Detail
| Speciality | Nephrology |
|---|---|
| Taxonomy | 207Rn0300X |
| Licence No | M-10858 |
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Definition: An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
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What is the unique identification code assigned to Michael John Haderlie by the Centers for Medicare & Medicaid Services?
The Michael John Haderlie has been issued the NPI (National Provider Identifier) 1700083813. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Michael John Haderlie's physical address?
The Michael John Haderlie is physically located at 4511 Zebe Ave, in the city of Chubbuck, ID, with the postal code 832024707.
What is the Michael John Haderlie's area of specialization and corresponding taxonomy classification?
The Michael John Haderlie's specialty field is Nephrology, and it falls under the taxonomy code 207Rn0300X, which categorizes healthcare providers based on their specialties.
On what date did the Michael John Haderlie receive its 1700083813 assignment from the Centers for Medicare & Medicaid Services?
The Michael John Haderlie was assigned its 1700083813 by the Centers for Medicare & Medicaid Services on 2007-07-02.
When was the Michael John Haderlie's information last updated?
The Michael John Haderlie's information was last updated on 2022-12-08.
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