Calvin Dale Vidrine in Opelousas - Diagnostic Radiology

Calvin Dale Vidrine - NPI 1639122195

Calvin Dale Vidrine is a Diagnostic Radiology in Opelousas, Louisiana. Calvin Dale Vidrine practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Calvin Dale Vidrine is 1639122195. The last update date is 2012-02-29.

Calvin Dale Vidrine's current location address is Po Box 1939, Opelousas, Louisiana. You can contact this provider via phone number 3379421915 and fax number 3379421990. The mailing address for Calvin Dale Vidrine is Po Box 1939, Opelousas, Louisiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Calvin Dale Vidrine
Address Po Box 1939, Opelousas, Louisiana
Phone Number 3379421915
Fax Number 3379421990
Sole Proprietor Y
Credentials CRA RJ RN

NPI Number Detail

NPI Number 1639122195
Provider Enumeration Date 2006-05-18
Last Updated Date 2012-02-29

Provider Mailing Address Detail

Address Po Box 1939
City Opelousas
State Louisiana (LA)
Post Code 705711939
Phone Number 3379421915
Fax Number 3379421990

Provider's Primary Taxonomy Detail

Speciality Diagnostic Radiology
Taxonomy 2085R0202X
Licence No 10041005
Definition:
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1664669 LA --
2000777340 LA BCBS

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FAQs about Calvin Dale Vidrine

What is the unique 10-digit identification code issued to Calvin Dale Vidrine by the Centers for Medicare & Medicaid Services?

The Calvin Dale Vidrine has been assigned the NPI (National Provider Identifier) 1639122195 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical location address where Calvin Dale Vidrine's facilities are situated?

The facilities of Calvin Dale Vidrine are physically located at the following address: Po Box 1939, Opelousas, LA, 705711939.

What is Calvin Dale Vidrine's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Calvin Dale Vidrine is Diagnostic Radiology, and the taxonomy code that classifies this field of practice is 2085R0202X.

When was the Calvin Dale Vidrine's 1639122195 issued?

The Calvin Dale Vidrine's 1639122195 was issued on 2006-05-18.

When was the Calvin Dale Vidrine's information last updated?

The Calvin Dale Vidrine's information was last updated on 2012-02-29.

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