Jodi L. Vansickle in Waterloo - Pediatrics
Jodi L. Vansickle - NPI 1982630703
Jodi L. Vansickle is a Pediatrics in Waterloo, Iowa. Jodi L. Vansickle practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Jodi L. Vansickle is 1982630703. The last update date is 2007-07-17.
Jodi L. Vansickle's current location address is 2101 Kimball Ave, Waterloo, Iowa. You can contact this provider via phone number 3192721590 and fax number 3192721535. The mailing address for Jodi L. Vansickle is 2101 Kimball Ave, Waterloo, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jodi L. Vansickle |
|---|---|
| Address | 2101 Kimball Ave, Waterloo, Iowa |
| Phone Number | 3192721590 |
| Fax Number | 3192721535 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1982630703 |
|---|---|
| Provider Enumeration Date | 2006-06-23 |
| Last Updated Date | 2007-07-17 |
Provider Mailing Address Detail
| Address | 2101 Kimball Ave |
|---|---|
| City | Waterloo |
| State | Iowa (IA) |
| Post Code | 507025063 |
| Phone Number | 3192721590 |
| Fax Number | 3192721535 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | 31864 |
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Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1159111 | IA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Jodi L. Vansickle by the Centers for Medicare & Medicaid Services?
The Jodi L. Vansickle has been assigned the NPI (National Provider Identifier) 1982630703 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Jodi L. Vansickle is physically located?
The Jodi L. Vansickle is situated at the following address: 2101 Kimball Ave, Waterloo, IA 507025063.
What is Jodi L. Vansickle's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jodi L. Vansickle is Pediatrics, and the taxonomy code that classifies this field of practice is 208000000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1982630703 to Jodi L. Vansickle?
The Centers for Medicare & Medicaid Services assigned the 1982630703 to Jodi L. Vansickle on 2006-06-23.
When was the information pertaining to Jodi L. Vansickle most recently updated or revised?
The details related to Jodi L. Vansickle, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-17.