Jake S Vacarella in Lake Geneva - Pediatrics
Jake S Vacarella - NPI 1104986777
Jake S Vacarella is a Pediatrics in Lake Geneva, Wisconsin. Jake S Vacarella practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Jake S Vacarella is 1104986777. The last update date is 2007-07-08.
Jake S Vacarella's current location address is N2950 State Road 67, Lake Geneva, Wisconsin. You can contact this provider via phone number 2622450535. The mailing address for Jake S Vacarella is N2950 State Road 67, Lake Geneva, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jake S Vacarella |
|---|---|
| Address | N2950 State Road 67, Lake Geneva, Wisconsin |
| Phone Number | 2622450535 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1104986777 |
|---|---|
| Provider Enumeration Date | 2006-12-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | N2950 State Road 67 |
|---|---|
| City | Lake Geneva |
| State | Wisconsin (WI) |
| Post Code | 531472655 |
| Phone Number | 2622450535 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | 36724 |
|
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 |
|---|---|---|---|
| 32142800 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jake S Vacarella by the Centers for Medicare & Medicaid Services?
The Jake S Vacarella has been issued the NPI (National Provider Identifier) 1104986777 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Jake S Vacarella's physical address?
The Jake S Vacarella is physically located at N2950 State Road 67, in the city of Lake Geneva, WI, with the postal code 531472655.
What is Jake S Vacarella's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jake S Vacarella's area of specialization is Pediatrics, and the corresponding taxonomy code that categorizes this field of practice is 208000000X.
On what date did the Jake S Vacarella receive the assignment of its 1104986777 from the Centers for Medicare & Medicaid Services?
The Jake S Vacarella was issued its 1104986777 by the Centers for Medicare & Medicaid Services on 2006-12-12.
When was the information regarding Jake S Vacarella, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Jake S Vacarella, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.