Susan Stackelhou Voss in Jefferson City - Pediatrics

Susan Stackelhou Voss - NPI 1023073145

Susan Stackelhou Voss is a Pediatrics in Jefferson City, Missouri. Susan Stackelhou Voss practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Susan Stackelhou Voss is 1023073145. The last update date is 2016-02-11.

Susan Stackelhou Voss's current location address is 1125 Madison St, Jefferson City, Missouri. You can contact this provider via phone number 5736325525 and fax number 5736325811. The mailing address for Susan Stackelhou Voss is 1125 Madison St, Jefferson City, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Susan Stackelhou Voss
Address 1125 Madison St, Jefferson City, Missouri
Phone Number 5736325525
Fax Number 5736325811
Sole Proprietor N
Credentials --

NPI Number Detail

NPI Number 1023073145
Provider Enumeration Date 2006-04-20
Last Updated Date 2016-02-11

Provider Mailing Address Detail

Address 1125 Madison St
City Jefferson City
State Missouri (MO)
Post Code 651015227
Phone Number 5736325525
Fax Number 5736325811

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Licence No 113335
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
440546366 UNITED HEALTH CARE
H16641 MERCY
1834230 FIRST HEALTH
204990105 MO MEDICAID
207515500 MO MEDICAID
11071 CIGNA
204990105 MO --
129170 BLUE CROSS BLUE SHIELD

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FAQs about Susan Stackelhou Voss

What is the unique provider identifier assigned to Susan Stackelhou Voss?

The Susan Stackelhou Voss has been issued the NPI (National Provider Identifier) 1023073145 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Susan Stackelhou Voss?

The Susan Stackelhou Voss is physically situated at 1125 Madison St, in the city of Jefferson City, state of MO, with the postal code 651015227.

What is the Susan Stackelhou Voss's specialty and taxonomy code?

The Susan Stackelhou Voss's specialty is Pediatrics, and the corresponding taxonomy code is 208000000X.

On what date did Susan Stackelhou Voss receive its 1023073145 assignment from the Centers for Medicare & Medicaid Services?

The Susan Stackelhou Voss was assigned its 1023073145 on 2006-04-20, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the Susan Stackelhou Voss's information last updated?

The Susan Stackelhou Voss's information was last updated on 2016-02-11.

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