Terren Burgess Koles in Moraine - General Practice
Terren Burgess Koles - NPI 1699831693
Terren Burgess Koles is a General Practice in Moraine, Ohio. Terren Burgess Koles practices all healthcare services and medical treatments related to General Practice. The NPI Number for Terren Burgess Koles is 1699831693. The last update date is 2012-04-13.
Terren Burgess Koles's current location address is 2912 Springboro Rd, Moraine, Ohio. You can contact this provider via phone number 9378851927. The mailing address for Terren Burgess Koles is 2912 Springboro Rd, Moraine, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Terren Burgess Koles |
|---|---|
| Address | 2912 Springboro Rd, Moraine, Ohio |
| Phone Number | 9378851927 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1699831693 |
|---|---|
| Provider Enumeration Date | 2006-12-28 |
| Last Updated Date | 2012-04-13 |
Provider Mailing Address Detail
| Address | 2912 Springboro Rd |
|---|---|
| City | Moraine |
| State | Ohio (OH) |
| Post Code | 454391674 |
| Phone Number | 9378851927 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
| Licence No | 35050061K |
|
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 |
|---|---|---|---|
| 2933179 | OH | -- |
Post Comment/ Review Below
What is the Terren Burgess Koles's unique identification number?
The Terren Burgess Koles has been assigned the NPI (National Provider Identifier) Number 1699831693 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Terren Burgess Koles's facilities are geographically located?
The facilities of Terren Burgess Koles are physically situated at the following location: 2912 Springboro Rd, Moraine, OH, 454391674.
What is the area of specialization for Terren Burgess Koles, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Terren Burgess Koles is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 208D00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1699831693 to Terren Burgess Koles?
The Centers for Medicare & Medicaid Services originally issued the 1699831693 to Terren Burgess Koles on 2006-12-28.
As of what date were the Terren Burgess Koles's details last updated?
The information pertaining to the Terren Burgess Koles, including its address, specialty, and other details, was most recently updated on 2012-04-13.
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