Angelina Jeanine Constable in Maple Grove - Orthotic Fitter
Angelina Jeanine Constable - NPI 1629285937
Angelina Jeanine Constable is a Orthotic Fitter in Maple Grove, Minnesota. Angelina Jeanine Constable practices all healthcare services and medical treatments related to Orthotic Fitter. The NPI Number for Angelina Jeanine Constable is 1629285937. The last update date is 2008-07-17.
Angelina Jeanine Constable's current location address is 14500 99th Ave N, Maple Grove, Minnesota. You can contact this provider via phone number 7638981361 and fax number 7638981866. The mailing address for Angelina Jeanine Constable is 14500 99th Ave N, Maple Grove, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Angelina Jeanine Constable |
|---|---|
| Address | 14500 99th Ave N, Maple Grove, Minnesota |
| Phone Number | 7638981361 |
| Fax Number | 7638981866 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1629285937 |
|---|---|
| Provider Enumeration Date | 2007-05-17 |
| Last Updated Date | 2008-07-17 |
Provider Mailing Address Detail
| Address | 14500 99th Ave N |
|---|---|
| City | Maple Grove |
| State | Minnesota (MN) |
| Post Code | 553694478 |
| Phone Number | 7638981361 |
| Fax Number | 7638981866 |
Provider's Primary Taxonomy Detail
| Speciality | Orthotic Fitter |
|---|---|
| Taxonomy | 225000000X |
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Definition: An individual trained in the management of fitting prefabricated orthoses. |
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What is the unique provider identifier assigned to Angelina Jeanine Constable?
The Angelina Jeanine Constable has been issued the NPI (National Provider Identifier) 1629285937 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Angelina Jeanine Constable?
The Angelina Jeanine Constable is physically situated at 14500 99Th Ave N, in the city of Maple Grove, state of MN, with the postal code 553694478.
What is the Angelina Jeanine Constable's specialty and taxonomy code?
The Angelina Jeanine Constable's specialty is Orthotic Fitter, and the corresponding taxonomy code is 225000000X.
On what date did Angelina Jeanine Constable receive its 1629285937 assignment from the Centers for Medicare & Medicaid Services?
The Angelina Jeanine Constable was assigned its 1629285937 on 2007-05-17, 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 Angelina Jeanine Constable most recently updated or refreshed?
The details pertaining to the Angelina Jeanine Constable, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-07-17.