Latisha A Smith-Chase in Johnson Creek - Undersea And Hyperbaric Medicine
Latisha A Smith-Chase - NPI 1154349900
Latisha A Smith-Chase is a Undersea And Hyperbaric Medicine in Johnson Creek, Wisconsin. Latisha A Smith-Chase practices all healthcare services and medical treatments related to Undersea And Hyperbaric Medicine. The NPI Number for Latisha A Smith-Chase is 1154349900. The last update date is 2022-10-07.
Latisha A Smith-Chase's current location address is 400 Doctors Ct, Johnson Creek, Wisconsin. You can contact this provider via phone number 9206994000. The mailing address for Latisha A Smith-Chase is 400 Doctors Ct, Johnson Creek, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Latisha A Smith-Chase |
|---|---|
| Address | 400 Doctors Ct, Johnson Creek, Wisconsin |
| Phone Number | 9206994000 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1154349900 |
|---|---|
| Provider Enumeration Date | 2006-07-18 |
| Last Updated Date | 2022-10-07 |
Provider Mailing Address Detail
| Address | 400 Doctors Ct |
|---|---|
| City | Johnson Creek |
| State | Wisconsin (WI) |
| Post Code | 530389567 |
| Phone Number | 9206994000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Undersea And Hyperbaric Medicine |
|---|---|
| Taxonomy | 2083P0011X |
| Licence No | G57131 |
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Definition: A specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns and bone infect |
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What is the unique identifier code issued to Latisha A Smith-Chase by the Centers for Medicare & Medicaid Services (CMS)?
The Latisha A Smith-Chase has been assigned the NPI (National Provider Identifier) 1154349900. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Latisha A Smith-Chase?
The Latisha A Smith-Chase is situated at 400 Doctors Ct, in the city of Johnson Creek, state of WI, with the zip code 530389567.
What is the Latisha A Smith-Chase's specialty and taxonomy code?
The Latisha A Smith-Chase's specialty is Undersea And Hyperbaric Medicine, and the corresponding taxonomy code is 2083P0011X.
When did Latisha A Smith-Chase receive its 1154349900 assignment?
The Latisha A Smith-Chase was assigned its 1154349900 on 2006-07-18, which is the date when this unique identifier was issued to the organization.
As of what date were the Latisha A Smith-Chase's details last updated?
The information pertaining to the Latisha A Smith-Chase, including its address, specialty, and other details, was most recently updated on 2022-10-07.