Deborah Ann Icenogle in Liberty Lake - Pediatrics
Deborah Ann Icenogle - NPI 1831296177
Deborah Ann Icenogle is a Pediatrics in Liberty Lake, Washington. Deborah Ann Icenogle practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Deborah Ann Icenogle is 1831296177. The last update date is 2022-07-21.
Deborah Ann Icenogle's current location address is Po Box 421, Liberty Lake, Washington. You can contact this provider via phone number 5093850610 and fax number 5092277070. The mailing address for Deborah Ann Icenogle is Po Box 421, Liberty Lake, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Deborah Ann Icenogle |
|---|---|
| Address | Po Box 421, Liberty Lake, Washington |
| Phone Number | 5093850610 |
| Fax Number | 5092277070 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1831296177 |
|---|---|
| Provider Enumeration Date | 2006-09-20 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | Po Box 421 |
|---|---|
| City | Liberty Lake |
| State | Washington (WA) |
| Post Code | 990190421 |
| Phone Number | 5093850610 |
| Fax Number | 5092277070 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | MD00028918 |
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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 |
|---|---|---|---|
| 1120765 | WA | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Deborah Ann Icenogle by the Centers for Medicare & Medicaid Services?
The Deborah Ann Icenogle has been issued the NPI (National Provider Identifier) 1831296177. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Deborah Ann Icenogle located?
The Deborah Ann Icenogle is located at Po Box 421, Liberty Lake, WA 990190421.
What is the Deborah Ann Icenogle's area of specialization and corresponding taxonomy classification?
The Deborah Ann Icenogle's specialty field is Pediatrics, and it falls under the taxonomy code 208000000X, which categorizes healthcare providers based on their specialties.
On what date was the 1831296177 assigned to Deborah Ann Icenogle?
The Deborah Ann Icenogle was issued its 1831296177 on 2006-09-20, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Deborah Ann Icenogle, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Deborah Ann Icenogle, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2022-07-21.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY