Candice Van Etten in Kingston - Radiologic Technologist
Candice Van Etten - NPI 1881668739
Candice Van Etten is a Radiologic Technologist in Kingston, Pennsylvania. Candice Van Etten practices all healthcare services and medical treatments related to Radiologic Technologist. The NPI Number for Candice Van Etten is 1881668739. The last update date is 2008-07-17.
Candice Van Etten's current location address is 540 Pierce St, Kingston, Pennsylvania. You can contact this provider via phone number 5707180101. The mailing address for Candice Van Etten is 540 Pierce St, Kingston, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Candice Van Etten |
|---|---|
| Address | 540 Pierce St, Kingston, Pennsylvania |
| Phone Number | 5707180101 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | CRVT |
NPI Number Detail
| NPI Number | 1881668739 |
|---|---|
| Provider Enumeration Date | 2006-02-16 |
| Last Updated Date | 2008-07-17 |
Provider Mailing Address Detail
| Address | 540 Pierce St |
|---|---|
| City | Kingston |
| State | Pennsylvania (PA) |
| Post Code | 187045751 |
| Phone Number | 5707180101 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Radiologic Technologist |
|---|---|
| Taxonomy | 247100000X |
| Licence No | 108374 |
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Definition: A medical imaging or radiation therapy professional who is appropriately educated and trained to perform medical imaging procedures using ionizing and nonionizing radiation. |
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What is the unique identification code assigned to Candice Van Etten by the Centers for Medicare & Medicaid Services?
The Candice Van Etten has been issued the NPI (National Provider Identifier) 1881668739. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Candice Van Etten is located?
The Candice Van Etten is situated at the following address: 540 Pierce St, Kingston, PA, 187045751.
What is Candice Van Etten's area of expertise and its corresponding taxonomy classification?
The Candice Van Etten's field of specialization is Radiologic Technologist, and it falls under the taxonomy code 247100000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Candice Van Etten receive the assignment of its 1881668739 from the Centers for Medicare & Medicaid Services?
The Candice Van Etten was issued its 1881668739 by the Centers for Medicare & Medicaid Services on 2006-02-16.
As of what date were the Candice Van Etten's details last updated?
The information pertaining to the Candice Van Etten, including its address, specialty, and other details, was most recently updated on 2008-07-17.
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