Terence Shaun Edgar in Green Bay - Neurology
Terence Shaun Edgar - NPI 1679506091
Terence Shaun Edgar is a Neurology in Green Bay, Wisconsin. Terence Shaun Edgar practices all healthcare services and medical treatments related to Neurology. The NPI Number for Terence Shaun Edgar is 1679506091. The last update date is 2014-07-28.
Terence Shaun Edgar's current location address is Po Box 19070, Green Bay, Wisconsin. You can contact this provider via phone number 9204964700. The mailing address for Terence Shaun Edgar is Po Box 19070, Green Bay, Wisconsin. To know further, please read the information below!
Provider Profile Detail
Provider Name | Terence Shaun Edgar |
---|---|
Address | Po Box 19070, Green Bay, Wisconsin |
Phone Number | 9204964700 |
Fax Number | |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1679506091 |
---|---|
Provider Enumeration Date | 2006-07-09 |
Last Updated Date | 2014-07-28 |
Provider Mailing Address Detail
Address | Po Box 19070 |
---|---|
City | Green Bay |
State | Wisconsin (WI) |
Post Code | 543079070 |
Phone Number | 9204964700 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Neurology |
---|---|
Taxonomy | 2084N0400X |
Licence No | 52201 |
Definition: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
ENROLLED | IA | -- | |
32117600 | WI | -- | |
ENROLLED | MN | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Terence Shaun Edgar by the Centers for Medicare & Medicaid Services (CMS)?
The Terence Shaun Edgar has been assigned the NPI (National Provider Identifier) 1679506091. 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 Terence Shaun Edgar?
The Terence Shaun Edgar is situated at Po Box 19070, in the city of Green Bay, state of WI, with the zip code 543079070.
What is the Terence Shaun Edgar's specialty and taxonomy code?
The Terence Shaun Edgar's specialty is Neurology, and the corresponding taxonomy code is 2084N0400X.
When did Terence Shaun Edgar receive its 1679506091 assignment?
The Terence Shaun Edgar was assigned its 1679506091 on 2006-07-09, which is the date when this unique identifier was issued to the organization.
As of what date was the information pertaining to Terence Shaun Edgar, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Terence Shaun Edgar, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2014-07-28.