Marshall R Black is a Prosthetist in Lewiston, Idaho. Marshall R Black practices all healthcare services and medical treatments related to Prosthetist. The NPI Number for Marshall R Black is 1154357242. The last update date is 2007-11-02.
Marshall R Black's current location address is 823 16th Ave, Lewiston, Idaho. You can contact this provider via phone number 2087980200 and fax number 2087980201. The mailing address for Marshall R Black is 823 16th Ave, Lewiston, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marshall R Black |
|---|---|
| Address | 823 16th Ave, Lewiston, Idaho |
| Phone Number | 2087980200 |
| Fax Number | 2087980201 |
| Sole Proprietor | Y |
| Credentials | CPO |
NPI Number Detail
| NPI Number | 1154357242 |
|---|---|
| Provider Enumeration Date | 2006-06-23 |
| Last Updated Date | 2007-11-02 |
Provider Mailing Address Detail
| Address | 823 16th Ave |
|---|---|
| City | Lewiston |
| State | Idaho (ID) |
| Post Code | 835013733 |
| Phone Number | 2087980200 |
| Fax Number | 2087980201 |
Provider's Primary Taxonomy Detail
| Speciality | Prosthetist |
|---|---|
| Taxonomy | 224P00000X |
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Definition: A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an |
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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Marshall R Black by the Centers for Medicare & Medicaid Services?
The Marshall R Black has been assigned the NPI (National Provider Identifier) 1154357242 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Marshall R Black is located?
The Marshall R Black is situated at the following address: 823 16Th Ave, Lewiston, ID, 835013733.
What is the Marshall R Black's area of specialization and corresponding taxonomy classification?
The Marshall R Black's specialty field is Prosthetist, and it falls under the taxonomy code 224P00000X, which categorizes healthcare providers based on their specialties.
On what date did the Marshall R Black receive its 1154357242 assignment from the Centers for Medicare & Medicaid Services?
The Marshall R Black was assigned its 1154357242 by the Centers for Medicare & Medicaid Services on 2006-06-23.
As of what date was the information regarding Marshall R Black, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Marshall R Black, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-11-02.
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