Edward St Ville in New Berlin - Diagnostic Radiology
Edward St Ville - NPI 1003838111
Edward St Ville is a Diagnostic Radiology in New Berlin, Wisconsin. Edward St Ville practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Edward St Ville is 1003838111. The last update date is 2021-11-24.
Edward St Ville's current location address is 2875 S 171st St, New Berlin, Wisconsin. You can contact this provider via phone number 2627863107 and fax number 2627800442. The mailing address for Edward St Ville is 2875 S 171st St, New Berlin, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Edward St Ville |
|---|---|
| Address | 2875 S 171st St, New Berlin, Wisconsin |
| Phone Number | 2627863107 |
| Fax Number | 2627800442 |
| Sole Proprietor | N |
| Credentials | M.D |
NPI Number Detail
| NPI Number | 1003838111 |
|---|---|
| Provider Enumeration Date | 2006-07-25 |
| Last Updated Date | 2021-11-24 |
Provider Mailing Address Detail
| Address | 2875 S 171st St |
|---|---|
| City | New Berlin |
| State | Wisconsin (WI) |
| Post Code | 531513511 |
| Phone Number | 2627863107 |
| Fax Number | 2627800442 |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | 36436 |
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Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 32246200 | WI | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Edward St Ville?
The Edward St Ville has been issued the NPI (National Provider Identifier) 1003838111 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Edward St Ville's facilities are situated?
The facilities of Edward St Ville are physically located at the following address: 2875 S 171St St, New Berlin, WI, 531513511.
What is Edward St Ville's area of expertise and its corresponding taxonomy classification?
The Edward St Ville'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 Edward St Ville receive its 1003838111 assignment from the Centers for Medicare & Medicaid Services?
The Edward St Ville was assigned its 1003838111 by the Centers for Medicare & Medicaid Services on 2006-07-25.
When was the information regarding Edward St Ville, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Edward St Ville, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2021-11-24.