Apolinar Ed A Jovellana in Crandon - General Practice
Apolinar Ed A Jovellana - NPI 1023026903
Apolinar Ed A Jovellana is a General Practice in Crandon, Wisconsin. Apolinar Ed A Jovellana practices all healthcare services and medical treatments related to General Practice. The NPI Number for Apolinar Ed A Jovellana is 1023026903. The last update date is 2012-05-08.
Apolinar Ed A Jovellana's current location address is 3144 Vanlile Road, Crandon, Wisconsin. You can contact this provider via phone number 7154785180 and fax number 7154785904. The mailing address for Apolinar Ed A Jovellana is 3144 Vanlile Road, Crandon, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Apolinar Ed A Jovellana |
|---|---|
| Address | 3144 Vanlile Road, Crandon, Wisconsin |
| Phone Number | 7154785180 |
| Fax Number | 7154785904 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1023026903 |
|---|---|
| Provider Enumeration Date | 2006-08-04 |
| Last Updated Date | 2012-05-08 |
Provider Mailing Address Detail
| Address | 3144 Vanlile Road |
|---|---|
| City | Crandon |
| State | Wisconsin (WI) |
| Post Code | 545208149 |
| Phone Number | 7154785180 |
| Fax Number | 7154785904 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
| Licence No | 25311020 |
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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 |
|---|---|---|---|
| 30527700 | WI | -- | |
| 19078 | WI | SECURITY HEALTH PLAN |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Apolinar Ed A Jovellana by the Centers for Medicare & Medicaid Services?
The Apolinar Ed A Jovellana has been issued the NPI (National Provider Identifier) 1023026903, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Apolinar Ed A Jovellana?
The Apolinar Ed A Jovellana is physically situated at 3144 Vanlile Road, in the city of Crandon, state of WI, with the postal code 545208149.
What is Apolinar Ed A Jovellana's area of expertise and its corresponding taxonomy classification?
The Apolinar Ed A Jovellana's field of specialization is General Practice, and it falls under the taxonomy code 208D00000X, which categorizes healthcare providers based on their areas of practice.
When did Apolinar Ed A Jovellana receive its 1023026903 assignment?
The Apolinar Ed A Jovellana was assigned its 1023026903 on 2006-08-04, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Apolinar Ed A Jovellana most recently updated or revised?
The details related to Apolinar Ed A Jovellana, including its address, specialty, and other relevant information, were last updated or revised on 2012-05-08.