Marc Immerman is a General Practice in Elmira, New York. Marc Immerman practices all healthcare services and medical treatments related to General Practice. The NPI Number for Marc Immerman is 1417967712. The last update date is 2018-02-06.
Marc Immerman's current location address is 1003 Walnut St, Elmira, New York. You can contact this provider via phone number 6077325646 and fax number 6077320373. The mailing address for Marc Immerman is 1003 Walnut St, Elmira, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marc Immerman |
|---|---|
| Address | 1003 Walnut St, Elmira, New York |
| Phone Number | 6077325646 |
| Fax Number | 6077320373 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1417967712 |
|---|---|
| Provider Enumeration Date | 2006-08-09 |
| Last Updated Date | 2018-02-06 |
Provider Mailing Address Detail
| Address | 1003 Walnut St |
|---|---|
| City | Elmira |
| State | New York (NY) |
| Post Code | 149011007 |
| Phone Number | 6077325646 |
| Fax Number | 6077320373 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
| Licence No | 174214 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 915192004 | NY | BCBS | |
| 1144467 | NY | -- |
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What is the unique identification code assigned to Marc Immerman by the Centers for Medicare & Medicaid Services?
The Marc Immerman has been issued the NPI (National Provider Identifier) 1417967712. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
What is the unique 10-digit identifier code assigned to Marc Immerman by the Centers for Medicare & Medicaid Services?
The Marc Immerman has been issued the NPI (National Provider Identifier) 1417967712 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Marc Immerman is located?
The Marc Immerman is situated at the following address: 1003 Walnut St, Elmira, NY, 149011007.
On what date did Marc Immerman receive its 1417967712 assignment from the Centers for Medicare & Medicaid Services?
The Marc Immerman was assigned its 1417967712 on 2006-08-09, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Marc Immerman most recently updated or refreshed?
The details pertaining to the Marc Immerman, including its address, specialty, and other relevant information, were last updated or refreshed on 2018-02-06.
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