Mary Lou Paulick in Great Falls - Pediatrics
Mary Lou Paulick - NPI 1184625899
Mary Lou Paulick is a Pediatrics in Great Falls, Montana. Mary Lou Paulick practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Mary Lou Paulick is 1184625899. The last update date is 2007-07-08.
Mary Lou Paulick's current location address is 1400 29th St S, Great Falls, Montana. You can contact this provider via phone number 4064542171 and fax number 4067713021. The mailing address for Mary Lou Paulick is 1400 29th St S, Great Falls, Montana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Lou Paulick |
|---|---|
| Address | 1400 29th St S, Great Falls, Montana |
| Phone Number | 4064542171 |
| Fax Number | 4067713021 |
| Sole Proprietor | X |
| Credentials | PT |
NPI Number Detail
| NPI Number | 1184625899 |
|---|---|
| Provider Enumeration Date | 2005-08-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1400 29th St S |
|---|---|
| City | Great Falls |
| State | Montana (MT) |
| Post Code | 594055353 |
| Phone Number | 4064542171 |
| Fax Number | 4067713021 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 2251P0200X |
| Licence No | 155 |
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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 |
|---|---|---|---|
| 341700 | MT | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Mary Lou Paulick by the Centers for Medicare & Medicaid Services?
The Mary Lou Paulick has been assigned the NPI (National Provider Identifier) 1184625899 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Mary Lou Paulick is geographically located?
The Mary Lou Paulick is physically situated at the following location: 1400 29Th St S, Great Falls, MT, 594055353.
What is Mary Lou Paulick's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Mary Lou Paulick is Pediatrics, and the corresponding taxonomy classification code for this specialized field is 2251P0200X.
On what date did Mary Lou Paulick receive its 1184625899 assignment from the Centers for Medicare & Medicaid Services?
The Mary Lou Paulick was assigned its 1184625899 on 2005-08-03, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Mary Lou Paulick most recently updated or revised?
The information pertaining to Mary Lou Paulick, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.