Central Indiana Proctology Pc in Martinsville - Colon & Rectal Surgery
Central Indiana Proctology Pc - NPI 1427081090
Central Indiana Proctology Pc is a Colon & Rectal Surgery in Martinsville, Indiana. Central Indiana Proctology Pc practices all healthcare services and medical treatments related to Colon & Rectal Surgery. The NPI Number for Central Indiana Proctology Pc is 1427081090. The last update date is 2010-11-11.
Central Indiana Proctology Pc's current location address is Po Box 1716, Martinsville, Indiana. You can contact this provider via phone number 7653423686 and fax number 7653424173. The mailing address for Central Indiana Proctology Pc is Po Box 1716, Martinsville, Indiana. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Central Indiana Proctology Pc |
---|---|
Address | Po Box 1716, Martinsville, Indiana |
Phone Number | 7653423686 |
Fax Number | 7653424173 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
---|---|
Authorized Official Name | Broderick E. Paul |
Credentials | D.O. |
Telephone Number | 7653423686 |
NPI Number Detail
NPI Number | 1427081090 |
---|---|
Provider Enumeration Date | 2006-07-08 |
Last Updated Date | 2010-11-11 |
Provider Mailing Address Detail
Address | Po Box 1716 |
---|---|
City | Martinsville |
State | Indiana (IN) |
Post Code | 461510716 |
Phone Number | 7653423686 |
Fax Number | 7653424173 |
Provider's Primary Taxonomy Detail
Speciality | Colon & Rectal Surgery |
---|---|
Taxonomy | 208C00000X |
Licence No | 50003439A |
Definition: A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liv |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
CB9700 | IN | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the Central Indiana Proctology Pc's unique identification number?
The Central Indiana Proctology Pc has been assigned the NPI (National Provider Identifier) Number 1427081090 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Central Indiana Proctology Pc is located?
The Central Indiana Proctology Pc is situated at the following address: Po Box 1716, Martinsville, IN, 461510716.
What is the Central Indiana Proctology Pc's specialty and taxonomy code?
The Central Indiana Proctology Pc's specialty is Colon & Rectal Surgery, and the corresponding taxonomy code is 208C00000X.
On what date did the Central Indiana Proctology Pc receive its 1427081090 assignment from the Centers for Medicare & Medicaid Services?
The Central Indiana Proctology Pc was assigned its 1427081090 by the Centers for Medicare & Medicaid Services on 2006-07-08.
As of what date were the Central Indiana Proctology Pc's details last updated?
The information pertaining to the Central Indiana Proctology Pc, including its address, specialty, and other details, was most recently updated on 2010-11-11.