Lawrence Evan Wibbels in Park Hills - Ambulatory Surgical
Lawrence Evan Wibbels - NPI 1508921651
Lawrence Evan Wibbels is a Ambulatory Surgical in Park Hills, Missouri. Lawrence Evan Wibbels practices all healthcare services and medical treatments related to Ambulatory Surgical. The NPI Number for Lawrence Evan Wibbels is 1508921651. The last update date is 2015-11-20.
Lawrence Evan Wibbels's current location address is 2851 Watson Rd, Park Hills, Missouri. You can contact this provider via phone number 5737600097. The mailing address for Lawrence Evan Wibbels is 2851 Watson Rd, Park Hills, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lawrence Evan Wibbels |
|---|---|
| Address | 2851 Watson Rd, Park Hills, Missouri |
| Phone Number | 5737600097 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1508921651 |
|---|---|
| Provider Enumeration Date | 2006-12-27 |
| Last Updated Date | 2015-11-20 |
Provider Mailing Address Detail
| Address | 2851 Watson Rd |
|---|---|
| City | Park Hills |
| State | Missouri (MO) |
| Post Code | 636018123 |
| Phone Number | 5737600097 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Ambulatory Surgical |
|---|---|
| Taxonomy | 261Qa1903X |
| Licence No | R8G40 |
|
Definition: Provides outpatient surgical services not requiring hospitalization. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 202404877 | MO | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Lawrence Evan Wibbels by the Centers for Medicare & Medicaid Services?
The Lawrence Evan Wibbels has been issued the NPI (National Provider Identifier) 1508921651 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Lawrence Evan Wibbels's facilities are situated?
The facilities of Lawrence Evan Wibbels are physically located at the following address: 2851 Watson Rd, Park Hills, MO, 636018123.
What is the Lawrence Evan Wibbels's specialty and taxonomy code?
The Lawrence Evan Wibbels's specialty is Ambulatory Surgical, and the corresponding taxonomy code is 261Qa1903X.
On what date did the Centers for Medicare & Medicaid Services assign the 1508921651 to Lawrence Evan Wibbels?
The Centers for Medicare & Medicaid Services assigned the 1508921651 to Lawrence Evan Wibbels on 2006-12-27.
As of what date was the information pertaining to Lawrence Evan Wibbels, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Lawrence Evan Wibbels, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2015-11-20.