Stacie Lee Haworth in Janesville - Pediatrics

Stacie Lee Haworth - NPI 1528081007

Stacie Lee Haworth is a Pediatrics in Janesville, Wisconsin. Stacie Lee Haworth practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Stacie Lee Haworth is 1528081007. The last update date is 2008-09-24.

Stacie Lee Haworth's current location address is 1323 Creston Park Dr, Janesville, Wisconsin. You can contact this provider via phone number 6087569440. The mailing address for Stacie Lee Haworth is 1323 Creston Park Dr, Janesville, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Stacie Lee Haworth
Address 1323 Creston Park Dr, Janesville, Wisconsin
Phone Number 6087569440
Fax Number
Sole Proprietor N
Credentials M.P.T.

NPI Number Detail

NPI Number 1528081007
Provider Enumeration Date 2006-07-25
Last Updated Date 2008-09-24

Provider Mailing Address Detail

Address 1323 Creston Park Dr
City Janesville
State Wisconsin (WI)
Post Code 535451126
Phone Number 6087569440
Fax Number

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 2251P0200X
Licence No 9823-024
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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FAQs about Stacie Lee Haworth

What is the unique 10-digit identifier code assigned to Stacie Lee Haworth by the Centers for Medicare & Medicaid Services?

The Stacie Lee Haworth has been issued the NPI (National Provider Identifier) 1528081007 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Stacie Lee Haworth's facilities are geographically located?

The facilities of Stacie Lee Haworth are physically situated at the following location: 1323 Creston Park Dr, Janesville, WI, 535451126.

What is Stacie Lee Haworth's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Stacie Lee Haworth is Pediatrics, and the taxonomy code that categorizes this field of expertise is 2251P0200X.

On what date did the Stacie Lee Haworth receive its 1528081007 assignment from the Centers for Medicare & Medicaid Services?

The Stacie Lee Haworth was assigned its 1528081007 by the Centers for Medicare & Medicaid Services on 2006-07-25.

As of what date was the information pertaining to Stacie Lee Haworth, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Stacie Lee Haworth, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-09-24.

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