Theodore G Shattuck in Rutland - Otolaryngology
Theodore G Shattuck - NPI 1558361444
Theodore G Shattuck is a Otolaryngology in Rutland, Vermont. Theodore G Shattuck practices all healthcare services and medical treatments related to Otolaryngology. The NPI Number for Theodore G Shattuck is 1558361444. The last update date is 2007-07-08.
Theodore G Shattuck's current location address is 69 Allen St, Rutland, Vermont. You can contact this provider via phone number 8027753314 and fax number 8027759617. The mailing address for Theodore G Shattuck is 69 Allen St, Rutland, Vermont. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Theodore G Shattuck |
|---|---|
| Address | 69 Allen St, Rutland, Vermont |
| Phone Number | 8027753314 |
| Fax Number | 8027759617 |
| Sole Proprietor | X |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1558361444 |
|---|---|
| Provider Enumeration Date | 2005-07-21 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 69 Allen St |
|---|---|
| City | Rutland |
| State | Vermont (VT) |
| Post Code | 57014564 |
| Phone Number | 8027753314 |
| Fax Number | 8027759617 |
Provider's Primary Taxonomy Detail
| Speciality | Otolaryngology |
|---|---|
| Taxonomy | 207Y00000X |
| Licence No | 042-0006143 |
|
Definition: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head an |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| OOO9206 | VT | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Theodore G Shattuck by the Centers for Medicare & Medicaid Services?
The Theodore G Shattuck has been issued the NPI (National Provider Identifier) 1558361444, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Theodore G Shattuck's physical address?
The Theodore G Shattuck is physically located at 69 Allen St, in the city of Rutland, VT, with the postal code 57014564.
What is the Theodore G Shattuck's area of specialization and corresponding taxonomy classification?
The Theodore G Shattuck's specialty field is Otolaryngology, and it falls under the taxonomy code 207Y00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1558361444 to Theodore G Shattuck?
The Centers for Medicare & Medicaid Services originally issued the 1558361444 to Theodore G Shattuck on 2005-07-21.
When was the information regarding Theodore G Shattuck most recently updated?
The details pertaining to the Theodore G Shattuck, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.