Mary Jean Wall in Bellevue - Diagnostic Radiology

Mary Jean Wall - NPI 1265405237

Mary Jean Wall is a Diagnostic Radiology in Bellevue, Ohio. Mary Jean Wall practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Mary Jean Wall is 1265405237. The last update date is 2007-11-19.

Mary Jean Wall's current location address is 108 W Main St, Bellevue, Ohio. You can contact this provider via phone number 4194834543 and fax number 4194830142. The mailing address for Mary Jean Wall is 108 W Main St, Bellevue, Ohio. To know further, please read the information below!

Provider Profile Detail

Provider Name Mary Jean Wall
Address 108 W Main St, Bellevue, Ohio
Phone Number 4194834543
Fax Number 4194830142
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1265405237
Provider Enumeration Date 2006-02-09
Last Updated Date 2007-11-19

Provider Mailing Address Detail

Address 108 W Main St
City Bellevue
State Ohio (OH)
Post Code 448111328
Phone Number 4194834543
Fax Number 4194830142

Provider's Primary Taxonomy Detail

Speciality Diagnostic Radiology
Taxonomy 2085R0202X
Licence No 35059303W
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
783022 OH --
P00286495 OH RAILROAD MC
339383 OH ANTHEM
1018989380001 PA --
1018989380002 PA --
1018989380003 PA --
3810008142 WV --

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FAQs about Mary Jean Wall

What is the unique identifier code issued to Mary Jean Wall by the Centers for Medicare & Medicaid Services (CMS)?

The Mary Jean Wall has been assigned the NPI (National Provider Identifier) 1265405237. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Where is the Mary Jean Wall located?

The Mary Jean Wall is located at 108 W Main St, Bellevue, OH 448111328.

What is Mary Jean Wall's area of expertise and its corresponding taxonomy classification?

The Mary Jean Wall's field of specialization is Diagnostic Radiology, and it falls under the taxonomy code 2085R0202X, which categorizes healthcare providers based on their areas of practice.

On what date was the 1265405237 assigned to Mary Jean Wall?

The Mary Jean Wall was issued its 1265405237 on 2006-02-09, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Mary Jean Wall last refreshed?

The information related to the Mary Jean Wall, including its address, specialty, and other relevant details, was last updated on 2007-11-19.

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