Christie Summerford in Fayetteville - Pediatrics
Christie Summerford - NPI 1730375650
Christie Summerford is a Pediatrics in Fayetteville, Arkansas. Christie Summerford practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Christie Summerford is 1730375650. The last update date is 2007-09-25.
Christie Summerford's current location address is 2474 E. Joyce Blvd, Fayetteville, Arkansas. You can contact this provider via phone number 4795218326. The mailing address for Christie Summerford is 2474 E. Joyce Blvd, Fayetteville, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Christie Summerford |
|---|---|
| Address | 2474 E. Joyce Blvd, Fayetteville, Arkansas |
| Phone Number | 4795218326 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PT |
NPI Number Detail
| NPI Number | 1730375650 |
|---|---|
| Provider Enumeration Date | 2007-09-25 |
| Last Updated Date | 2007-09-25 |
Provider Mailing Address Detail
| Address | 2474 E. Joyce Blvd |
|---|---|
| City | Fayetteville |
| State | Arkansas (AR) |
| Post Code | 72703 |
| Phone Number | 4795218326 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 2251P0200X |
| Licence No | PT3013 |
|
Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PT3013 | AR | AR PT LICENSE |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Christie Summerford by the Centers for Medicare & Medicaid Services?
The Christie Summerford has been issued the NPI (National Provider Identifier) 1730375650, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Christie Summerford located?
The Christie Summerford is located at 2474 E. Joyce Blvd, Fayetteville, AR 72703.
What is Christie Summerford's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Christie Summerford is Pediatrics, and the taxonomy code that categorizes this field of expertise is 2251P0200X.
On what date did the Christie Summerford receive the assignment of its 1730375650 from the Centers for Medicare & Medicaid Services?
The Christie Summerford was issued its 1730375650 by the Centers for Medicare & Medicaid Services on 2007-09-25.
As of what date was the information regarding Christie Summerford, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Christie Summerford, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-09-25.
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