Physician Professional Fee Component in Huntsville - Neurology

Physician Professional Fee Component - NPI 1083643621

Physician Professional Fee Component is a Neurology in Huntsville, Alabama. Physician Professional Fee Component practices all healthcare services and medical treatments related to Neurology. The NPI Number for Physician Professional Fee Component is 1083643621. The last update date is 2007-07-16.

Physician Professional Fee Component's current location address is 101 Sivley Rd, Huntsville, Alabama. You can contact this provider via phone number 2565338362 and fax number 2565338262. The mailing address for Physician Professional Fee Component is 101 Sivley Rd, Huntsville, Alabama. To know further, please read the information below!

Provider Profile Detail

Provider Organization Physician Professional Fee Component
Address 101 Sivley Rd, Huntsville, Alabama
Phone Number 2565338362
Fax Number 2565338262
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CHIEF FINA
Authorized Official Name Frederick A David
Telephone Number 2565338362

NPI Number Detail

NPI Number 1083643621
Provider Enumeration Date 2006-07-03
Last Updated Date 2007-07-16

Provider Mailing Address Detail

Address 101 Sivley Rd
City Huntsville
State Alabama (AL)
Post Code 358010
Phone Number 2565338362
Fax Number 2565338262

Provider's Primary Taxonomy Detail

Speciality Neurology
Taxonomy 2084N0400X
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
CH7560 AL RAILROAD MEDICARE
F956 AL BLUE CROSS OF ALABAMA

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FAQs about Physician Professional Fee Component

What is the unique identifier code issued to Physician Professional Fee Component by the Centers for Medicare & Medicaid Services?

The Physician Professional Fee Component has been assigned the NPI (National Provider Identifier) 1083643621. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Physician Professional Fee Component is physically located?

The Physician Professional Fee Component is physically situated at the following address: 101 Sivley Rd, Huntsville, AL, 358010.

What is the Physician Professional Fee Component's specialty and taxonomy code?

The Physician Professional Fee Component's specialty is Neurology, and the corresponding taxonomy code is 2084N0400X.

On what date did the Centers for Medicare & Medicaid Services issue the 1083643621 to Physician Professional Fee Component?

The Physician Professional Fee Component received its 1083643621 assignment from the Centers for Medicare & Medicaid Services on 2006-07-03.

As of what date were the Physician Professional Fee Component's details last updated?

The information pertaining to the Physician Professional Fee Component, including its address, specialty, and other details, was most recently updated on 2007-07-16.

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