Mary C White is a Podiatrist in Rockford, Illinois. Mary C White practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Mary C White is 1649293952. The last update date is 2022-11-29.
Mary C White's current location address is 6451 E Riverside Blvd, Rockford, Illinois. You can contact this provider via phone number 8152824000. The mailing address for Mary C White is 6451 E Riverside Blvd, Rockford, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | Mary C White |
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Address | 6451 E Riverside Blvd, Rockford, Illinois |
Phone Number | 8152824000 |
Fax Number | |
Sole Proprietor | Y |
Credentials | DPM |
NPI Number Detail
NPI Number | 1649293952 |
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Provider Enumeration Date | 2006-07-26 |
Last Updated Date | 2022-11-29 |
Provider Mailing Address Detail
Address | 6451 E Riverside Blvd |
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City | Rockford |
State | Illinois (IL) |
Post Code | 611144421 |
Phone Number | 8152824000 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Podiatrist |
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Taxonomy | 213E00000X |
Licence No | 16004011 |
Definition: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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4760030001 | IL | DMERC | |
P00050197 | IL | RAILROAD MEDICARE | |
60101278 | IL | BC/BS |
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What is the unique 10-digit identifier code issued to Mary C White by the Centers for Medicare & Medicaid Services?
The Mary C White has been assigned the NPI (National Provider Identifier) 1649293952 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Mary C White is physically located?
The Mary C White is situated at the following address: 6451 E Riverside Blvd, Rockford, IL 611144421.
What is Mary C White's specialized field of practice, and what is the corresponding taxonomy classification code?
The Mary C White's area of specialization is Podiatrist, and the corresponding taxonomy code that categorizes this field of practice is 213E00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1649293952 to Mary C White?
The Mary C White received its 1649293952 assignment from the Centers for Medicare & Medicaid Services on 2006-07-26.
As of what date was the information pertaining to Mary C White, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Mary C White, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2022-11-29.
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