Thaddeus Earl Wilson in Loma Linda - Pediatric Rehabilitation Medicine
Thaddeus Earl Wilson - NPI 1184839896
Thaddeus Earl Wilson is a Pediatric Rehabilitation Medicine in Loma Linda, California. Thaddeus Earl Wilson practices all healthcare services and medical treatments related to Pediatric Rehabilitation Medicine. The NPI Number for Thaddeus Earl Wilson is 1184839896. The last update date is 2014-08-15.
Thaddeus Earl Wilson's current location address is 11406 Loma Linda Drive, Loma Linda, California. You can contact this provider via phone number 9095586275 and fax number 9095586212. The mailing address for Thaddeus Earl Wilson is 11406 Loma Linda Drive, Loma Linda, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Thaddeus Earl Wilson |
|---|---|
| Address | 11406 Loma Linda Drive, Loma Linda, California |
| Phone Number | 9095586275 |
| Fax Number | 9095586212 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1184839896 |
|---|---|
| Provider Enumeration Date | 2007-05-14 |
| Last Updated Date | 2014-08-15 |
Provider Mailing Address Detail
| Address | 11406 Loma Linda Drive |
|---|---|
| City | Loma Linda |
| State | California (CA) |
| Post Code | 92354 |
| Phone Number | 9095586275 |
| Fax Number | 9095586212 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Rehabilitation Medicine |
|---|---|
| Taxonomy | 2081P0010X |
| Licence No | A102261 |
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Definition: A physiatrist who utilizes an interdisciplinary approach and addresses the prevention, diagnosis, treatment and management of congenital and childhood-onset physical impairments including related or secondary medical, physical, functional, psychosoci |
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What is the unique 10-digit identification code issued to Thaddeus Earl Wilson by the Centers for Medicare & Medicaid Services?
The Thaddeus Earl Wilson has been assigned the NPI (National Provider Identifier) 1184839896 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Thaddeus Earl Wilson?
The Thaddeus Earl Wilson is situated at 11406 Loma Linda Drive, in the city of Loma Linda, state of CA, with the zip code 92354.
What is Thaddeus Earl Wilson's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Thaddeus Earl Wilson is Pediatric Rehabilitation Medicine, and the corresponding taxonomy classification code for this specialized field is 2081P0010X.
On what date did the Thaddeus Earl Wilson receive the assignment of its 1184839896 from the Centers for Medicare & Medicaid Services?
The Thaddeus Earl Wilson was issued its 1184839896 by the Centers for Medicare & Medicaid Services on 2007-05-14.
When was the information pertaining to Thaddeus Earl Wilson most recently updated or revised?
The details related to Thaddeus Earl Wilson, including its address, specialty, and other relevant information, were last updated or revised on 2014-08-15.