Julie Shibata Fall in Gillette - Adolescent Medicine
Julie Shibata Fall - NPI 1306959267
Julie Shibata Fall is a Adolescent Medicine in Gillette, . Julie Shibata Fall practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Julie Shibata Fall is 1306959267. The last update date is 2007-07-09.
Julie Shibata Fall's current location address is 1308 W 4th St, Gillette, . You can contact this provider via phone number 3076871300 and fax number 3076821309. The mailing address for Julie Shibata Fall is 1308 W 4th St, Gillette, . To know further, please read the information below!
Provider Profile Detail
| Provider Name | Julie Shibata Fall |
|---|---|
| Address | 1308 W 4th St, Gillette, |
| Phone Number | 3076871300 |
| Fax Number | 3076821309 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1306959267 |
|---|---|
| Provider Enumeration Date | 2006-08-16 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 1308 W 4th St |
|---|---|
| City | Gillette |
| State | (WY) |
| Post Code | 827163330 |
| Phone Number | 3076871300 |
| Fax Number | 3076821309 |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent Medicine |
|---|---|
| Taxonomy | 2080A0000X |
| Licence No | 3686A |
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Definition: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 302313 | WY | BCBS PROVIDER NUMBER |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Julie Shibata Fall by the Centers for Medicare & Medicaid Services?
The Julie Shibata Fall has been assigned the NPI (National Provider Identifier) 1306959267 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Julie Shibata Fall's physical address?
The Julie Shibata Fall is physically located at 1308 W 4Th St, in the city of Gillette, WY, with the postal code 827163330.
What is Julie Shibata Fall's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Julie Shibata Fall's specialized field of practice is Adolescent Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 2080A0000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1306959267 to Julie Shibata Fall?
The Centers for Medicare & Medicaid Services assigned the 1306959267 to Julie Shibata Fall on 2006-08-16.
As of what date were the Julie Shibata Fall's details last updated?
The information pertaining to the Julie Shibata Fall, including its address, specialty, and other details, was most recently updated on 2007-07-09.