Jan Gillespie-Wagne in Greeley - Interventional Pain Medicine

Jan Gillespie-Wagne - NPI 1043293921

Jan Gillespie-Wagne is a Interventional Pain Medicine in Greeley, Colorado. Jan Gillespie-Wagne practices all healthcare services and medical treatments related to Interventional Pain Medicine. The NPI Number for Jan Gillespie-Wagne is 1043293921. The last update date is 2020-11-30.

Jan Gillespie-Wagne's current location address is 1175 58th Ave, Greeley, Colorado. You can contact this provider via phone number 9704950444 and fax number 9704883106. The mailing address for Jan Gillespie-Wagne is 1175 58th Ave, Greeley, Colorado. To know further, please read the information below!

Provider Profile Detail

Provider Name Jan Gillespie-Wagne
Address 1175 58th Ave, Greeley, Colorado
Phone Number 9704950444
Fax Number 9704883106
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1043293921
Provider Enumeration Date 2005-11-23
Last Updated Date 2020-11-30

Provider Mailing Address Detail

Address 1175 58th Ave
City Greeley
State Colorado (CO)
Post Code 806344807
Phone Number 9704950444
Fax Number 9704883106

Provider's Primary Taxonomy Detail

Speciality Interventional Pain Medicine
Taxonomy 208Vp0014X
Licence No 26768
Definition:
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable p

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
187075800 DEPARTMENT OF LABOR
1267681 CO --
102189300 WY --
GI160818 CO ANTHEM BCBS

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FAQs about Jan Gillespie-Wagne

What is the unique identifier code issued to Jan Gillespie-Wagne by the Centers for Medicare & Medicaid Services (CMS)?

The Jan Gillespie-Wagne has been assigned the NPI (National Provider Identifier) 1043293921. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete physical location address of Jan Gillespie-Wagne?

The Jan Gillespie-Wagne is physically situated at 1175 58Th Ave, in the city of Greeley, state of CO, with the postal code 806344807.

What is Jan Gillespie-Wagne's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Jan Gillespie-Wagne's specialized field of practice is Interventional Pain Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 208Vp0014X.

On what date did Jan Gillespie-Wagne receive its 1043293921 assignment from the Centers for Medicare & Medicaid Services?

The Jan Gillespie-Wagne was assigned its 1043293921 on 2005-11-23, 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 Jan Gillespie-Wagne most recently updated or refreshed?

The details pertaining to the Jan Gillespie-Wagne, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-11-30.

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