Laura Jean Bode in Waterloo - Radiation Therapy
Laura Jean Bode - NPI 1548441652
Laura Jean Bode is a Radiation Therapy in Waterloo, Illinois. Laura Jean Bode practices all healthcare services and medical treatments related to Radiation Therapy. The NPI Number for Laura Jean Bode is 1548441652. The last update date is 2007-11-16.
Laura Jean Bode's current location address is 3610 Fossil Creek Ln, Waterloo, Illinois. You can contact this provider via phone number 6182101179. The mailing address for Laura Jean Bode is 3610 Fossil Creek Ln, Waterloo, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Laura Jean Bode |
|---|---|
| Address | 3610 Fossil Creek Ln, Waterloo, Illinois |
| Phone Number | 6182101179 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | RT(T),CMD, |
NPI Number Detail
| NPI Number | 1548441652 |
|---|---|
| Provider Enumeration Date | 2007-11-16 |
| Last Updated Date | 2007-11-16 |
Provider Mailing Address Detail
| Address | 3610 Fossil Creek Ln |
|---|---|
| City | Waterloo |
| State | Illinois (IL) |
| Post Code | 622984650 |
| Phone Number | 6182101179 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Radiation Therapy |
|---|---|
| Taxonomy | 2471R0002X |
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Definition: A radiologic technologist who specializes in radiation therapy and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy, in administration of radiation therapy, exam techniques, eq |
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What is the unique identifier code issued to Laura Jean Bode by the Centers for Medicare & Medicaid Services?
The Laura Jean Bode has been assigned the NPI (National Provider Identifier) 1548441652. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Laura Jean Bode?
The Laura Jean Bode is physically situated at 3610 Fossil Creek Ln, in the city of Waterloo, state of IL, with the postal code 622984650.
What is the Laura Jean Bode's specialty and taxonomy code?
The Laura Jean Bode's specialty is Radiation Therapy, and the corresponding taxonomy code is 2471R0002X.
When did Laura Jean Bode receive its 1548441652 assignment?
The Laura Jean Bode was assigned its 1548441652 on 2007-11-16, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Laura Jean Bode last refreshed?
The information related to the Laura Jean Bode, including its address, specialty, and other relevant details, was last updated on 2007-11-16.