Terence Shaun Edgar in Green Bay - Neurology With Special Qualifications In Child Neurology
Terence Shaun Edgar - NPI 1679506091
Terence Shaun Edgar is a Neurology With Special Qualifications In Child Neurology in Green Bay, Wisconsin. Terence Shaun Edgar practices all healthcare services and medical treatments related to Neurology With Special Qualifications In Child 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 With Special Qualifications In Child Neurology |
|---|---|
| Taxonomy | 2084N0402X |
| Licence No | 34917 |
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Definition: A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. |
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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 With Special Qualifications In Child Neurology, and the corresponding taxonomy code is 2084N0402X.
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.