Marcelle Mahan in Mckinleyville - General Practice

Marcelle Mahan - NPI 1245292085

Marcelle Mahan is a General Practice in Mckinleyville, California. Marcelle Mahan practices all healthcare services and medical treatments related to General Practice. The NPI Number for Marcelle Mahan is 1245292085. The last update date is 2021-03-29.

Marcelle Mahan's current location address is Po Box 2717, Mckinleyville, California. You can contact this provider via phone number 7074998781. The mailing address for Marcelle Mahan is Po Box 2717, Mckinleyville, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Marcelle Mahan
Address Po Box 2717, Mckinleyville, California
Phone Number 7074998781
Fax Number
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1245292085
Provider Enumeration Date 2006-04-05
Last Updated Date 2021-03-29

Provider Mailing Address Detail

Address Po Box 2717
City Mckinleyville
State California (CA)
Post Code 955192717
Phone Number 7074998781
Fax Number

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 208D00000X
Licence No G078160
Definition:
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
00G718600 CA --

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FAQs about Marcelle Mahan

What is the unique identification code assigned to Marcelle Mahan by the Centers for Medicare & Medicaid Services?

The Marcelle Mahan has been issued the NPI (National Provider Identifier) 1245292085. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Marcelle Mahan's facilities are situated?

The facilities of Marcelle Mahan are physically located at the following address: Po Box 2717, Mckinleyville, CA, 955192717.

What is Marcelle Mahan's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Marcelle Mahan is General Practice, and the taxonomy classification code that categorizes this area of expertise is 208D00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1245292085 to Marcelle Mahan?

The Marcelle Mahan received its 1245292085 assignment from the Centers for Medicare & Medicaid Services on 2006-04-05.

When was the information regarding Marcelle Mahan most recently updated?

The details pertaining to the Marcelle Mahan, including its address, specialty, and other relevant information, were last refreshed on 2021-03-29.

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