Carl G Mattacola in Harrodsburg - Specialist/technologist, Other
Carl G Mattacola - NPI 1225000706
Carl G Mattacola is a Specialist/technologist, Other in Harrodsburg, Kentucky. Carl G Mattacola practices all healthcare services and medical treatments related to Specialist/technologist, Other. The NPI Number for Carl G Mattacola is 1225000706. The last update date is 2007-07-08.
Carl G Mattacola's current location address is Indigo Farm, Harrodsburg, Kentucky. You can contact this provider via phone number 8593231100 and fax number 8593236003. The mailing address for Carl G Mattacola is Indigo Farm, Harrodsburg, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carl G Mattacola |
|---|---|
| Address | Indigo Farm, Harrodsburg, Kentucky |
| Phone Number | 8593231100 |
| Fax Number | 8593236003 |
| Sole Proprietor | X |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1225000706 |
|---|---|
| Provider Enumeration Date | 2006-02-07 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Indigo Farm |
|---|---|
| City | Harrodsburg |
| State | Kentucky (KY) |
| Post Code | 40330 |
| Phone Number | 8593231100 |
| Fax Number | 8593236003 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist/technologist, Other |
|---|---|
| Taxonomy | 246Z00000X |
| Licence No | AT400 |
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Definition: General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. |
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What is the Carl G Mattacola's area of specialization and corresponding taxonomy classification?
The Carl G Mattacola's specialty field is Specialist/technologist, Other, and it falls under the taxonomy code 246Z00000X, which categorizes healthcare providers based on their specialties.
What is Carl G Mattacola's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Carl G Mattacola is Specialist/technologist, Other, and the taxonomy code that categorizes this field of expertise is 246Z00000X.
When did the Carl G Mattacola receive its 1225000706?
The Carl G Mattacola was issued its 1225000706 on 2006-02-07, which is the date when the organization was assigned this unique identifier.
On what date did the Carl G Mattacola receive its 1225000706 assignment from the Centers for Medicare & Medicaid Services?
The Carl G Mattacola was assigned its 1225000706 by the Centers for Medicare & Medicaid Services on 2006-02-07.
As of what date were the details related to Carl G Mattacola most recently updated or revised?
The information pertaining to Carl G Mattacola, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.