Radiology Chartered in Green Bay - Diagnostic Radiology
Radiology Chartered - NPI 1760416895
Radiology Chartered is a Diagnostic Radiology in Green Bay, Wisconsin. Radiology Chartered practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Radiology Chartered is 1760416895. The last update date is 2023-06-15.
Radiology Chartered's current location address is 1789 Shawano Ave, Green Bay, Wisconsin. You can contact this provider via phone number 9204991428 and fax number 9204997080. The mailing address for Radiology Chartered is 1789 Shawano Ave, Green Bay, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Radiology Chartered |
|---|---|
| Address | 1789 Shawano Ave, Green Bay, Wisconsin |
| Phone Number | 9204991428 |
| Fax Number | 9204997080 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OFFICE MAN |
|---|---|
| Authorized Official Name | Brabant Shaniece |
| Telephone Number | 9204992766 |
NPI Number Detail
| NPI Number | 1760416895 |
|---|---|
| Provider Enumeration Date | 2006-07-11 |
| Last Updated Date | 2023-06-15 |
Provider Mailing Address Detail
| Address | 1789 Shawano Ave |
|---|---|
| City | Green Bay |
| State | Wisconsin (WI) |
| Post Code | 543033243 |
| Phone Number | 9204991428 |
| Fax Number | 9204997080 |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
|
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 |
|---|---|---|---|
| C04047 | WI | RR MEDICARE | |
| 32725000 | WI | -- | |
| 7273 | WI | PTAN |
Post Comment/ Review Below
What is the unique identification code assigned to Radiology Chartered by the Centers for Medicare & Medicaid Services?
The Radiology Chartered has been issued the NPI (National Provider Identifier) 1760416895. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Radiology Chartered is located?
The Radiology Chartered is situated at the following address: 1789 Shawano Ave, Green Bay, WI, 543033243.
What is Radiology Chartered's area of expertise and its corresponding taxonomy classification?
The Radiology Chartered'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 did the Centers for Medicare & Medicaid Services issue the 1760416895 to Radiology Chartered?
The Radiology Chartered received its 1760416895 assignment from the Centers for Medicare & Medicaid Services on 2006-07-11.
As of what date were the details pertaining to Radiology Chartered last refreshed?
The information related to the Radiology Chartered, including its address, specialty, and other relevant details, was last updated on 2023-06-15.
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