Allan Phillip Ingenito in Coon Rapids - Neurology With Special Qualifications In Child Neurology
Allan Phillip Ingenito - NPI 1124068770
Allan Phillip Ingenito is a Neurology With Special Qualifications In Child Neurology in Coon Rapids, Minnesota. Allan Phillip Ingenito practices all healthcare services and medical treatments related to Neurology With Special Qualifications In Child Neurology. The NPI Number for Allan Phillip Ingenito is 1124068770. The last update date is 2019-03-19.
Allan Phillip Ingenito's current location address is 3833 Coon Rapids Blvd Nw, Coon Rapids, Minnesota. You can contact this provider via phone number 7634278320 and fax number 7633024338. The mailing address for Allan Phillip Ingenito is 3833 Coon Rapids Blvd Nw, Coon Rapids, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Allan Phillip Ingenito |
|---|---|
| Address | 3833 Coon Rapids Blvd Nw, Coon Rapids, Minnesota |
| Phone Number | 7634278320 |
| Fax Number | 7633024338 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1124068770 |
|---|---|
| Provider Enumeration Date | 2006-06-08 |
| Last Updated Date | 2019-03-19 |
Provider Mailing Address Detail
| Address | 3833 Coon Rapids Blvd Nw |
|---|---|
| City | Coon Rapids |
| State | Minnesota (MN) |
| Post Code | 554332697 |
| Phone Number | 7634278320 |
| Fax Number | 7633024338 |
Provider's Primary Taxonomy Detail
| Speciality | Neurology With Special Qualifications In Child Neurology |
|---|---|
| Taxonomy | 2084N0402X |
| Licence No | 29584 |
|
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 |
|---|---|---|---|
| 07691IN | MN | BCBS OF MN | |
| 130005768 | MN | RAILROAD MEDICARE | |
| 162078900 | MN | -- | |
| 30709400 | WI | WI MEDICAID | |
| 265011 | MN | PREFERRED ONE | |
| HP13588 | MN | HEALTHPARTNERS | |
| 509674 | MN | MEDICA | |
| 100289C029 | MN | UCARE | |
| 22676 | MN | AMERICA'S PPO |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Allan Phillip Ingenito by the Centers for Medicare & Medicaid Services?
The Allan Phillip Ingenito has been assigned the NPI (National Provider Identifier) 1124068770 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Allan Phillip Ingenito is physically located?
The Allan Phillip Ingenito is physically situated at the following address: 3833 Coon Rapids Blvd Nw, Coon Rapids, MN, 554332697.
What is Allan Phillip Ingenito's specialized field of practice, and what is the corresponding taxonomy classification code?
The Allan Phillip Ingenito's area of specialization is Neurology With Special Qualifications In Child Neurology, and the corresponding taxonomy code that categorizes this field of practice is 2084N0402X.
On what date was the 1124068770 assigned to Allan Phillip Ingenito?
The Allan Phillip Ingenito was issued its 1124068770 on 2006-06-08, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Allan Phillip Ingenito most recently updated or revised?
The details related to Allan Phillip Ingenito, including its address, specialty, and other relevant information, were last updated or revised on 2019-03-19.