Reuben Bontrager in Marianna - General Practice
Reuben Bontrager - NPI 1538351184
Reuben Bontrager is a General Practice in Marianna, Florida. Reuben Bontrager practices all healthcare services and medical treatments related to General Practice. The NPI Number for Reuben Bontrager is 1538351184. The last update date is 2008-02-25.
Reuben Bontrager's current location address is 4439 Jackson St Ste B, Marianna, Florida. You can contact this provider via phone number 8504822264 and fax number 8504825270. The mailing address for Reuben Bontrager is 4439 Jackson St Ste B, Marianna, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Reuben Bontrager |
|---|---|
| Address | 4439 Jackson St Ste B, Marianna, Florida |
| Phone Number | 8504822264 |
| Fax Number | 8504825270 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MEDICAL DI |
|---|---|
| Authorized Official Name | Sutton Carol |
| Credentials | MD. |
| Telephone Number | 8504822264 |
NPI Number Detail
| NPI Number | 1538351184 |
|---|---|
| Provider Enumeration Date | 2007-08-16 |
| Last Updated Date | 2008-02-25 |
Provider Mailing Address Detail
| Address | 4439 Jackson St Ste B |
|---|---|
| City | Marianna |
| State | Florida (FL) |
| Post Code | 324484660 |
| Phone Number | 8504822264 |
| Fax Number | 8504825270 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
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Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
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What is the unique 10-digit identifier code assigned to Reuben Bontrager by the Centers for Medicare & Medicaid Services?
The Reuben Bontrager has been issued the NPI (National Provider Identifier) 1538351184 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Reuben Bontrager is physically located?
The Reuben Bontrager is physically situated at the following address: 4439 Jackson St Ste B, Marianna, FL, 324484660.
What is Reuben Bontrager's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Reuben Bontrager's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 208D00000X.
When did Reuben Bontrager receive its 1538351184 assignment?
The Reuben Bontrager was assigned its 1538351184 on 2007-08-16, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Reuben Bontrager most recently updated or revised?
The details related to Reuben Bontrager, including its address, specialty, and other relevant information, were last updated or revised on 2008-02-25.