E'Town Lung Specialist, Psc in Elizabethtown - Medical Specialty

E'Town Lung Specialist, Psc - NPI 1790797702

E'Town Lung Specialist, Psc is a Medical Specialty in Elizabethtown, Kentucky. E'Town Lung Specialist, Psc practices all healthcare services and medical treatments related to Medical Specialty. The NPI Number for E'Town Lung Specialist, Psc is 1790797702. The last update date is 2016-01-13.

E'Town Lung Specialist, Psc's current location address is 914 N Dixie Ave, Elizabethtown, Kentucky. You can contact this provider via phone number 2707359066 and fax number 2707359036. The mailing address for E'Town Lung Specialist, Psc is 914 N Dixie Ave, Elizabethtown, Kentucky. To know further, please read the information below!

Provider Profile Detail

Provider Organization E'Town Lung Specialist, Psc
Address 914 N Dixie Ave, Elizabethtown, Kentucky
Phone Number 2707359066
Fax Number 2707359036
Sole Proprietor --
Credentials --

Authorized Official

Title or Position MEDICAL DO
Authorized Official Name Yazdani A Aijaz
Credentials MD
Telephone Number 2707359066

NPI Number Detail

NPI Number 1790797702
Provider Enumeration Date 2006-08-12
Last Updated Date 2016-01-13

Provider Mailing Address Detail

Address 914 N Dixie Ave
City Elizabethtown
State Kentucky (KY)
Post Code 427012520
Phone Number 2707359066
Fax Number 2707359036

Provider's Primary Taxonomy Detail

Speciality Medical Specialty
Taxonomy 261Qm2500X
Definition:
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
64328784 KY --
290014995 RAILROAD MEDICARE

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FAQs about E'Town Lung Specialist, Psc

What is the unique 10-digit identification code issued to E'Town Lung Specialist, Psc by the Centers for Medicare & Medicaid Services?

The E'Town Lung Specialist, Psc has been assigned the NPI (National Provider Identifier) 1790797702 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical address where E'Town Lung Specialist, Psc is geographically located?

The E'Town Lung Specialist, Psc is physically situated at the following location: 914 N Dixie Ave, Elizabethtown, KY, 427012520.

What is E'Town Lung Specialist, Psc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for E'Town Lung Specialist, Psc is Medical Specialty, and the corresponding taxonomy classification code for this specialized field is 261Qm2500X.

On what date did E'Town Lung Specialist, Psc receive its 1790797702 assignment from the Centers for Medicare & Medicaid Services?

The E'Town Lung Specialist, Psc was assigned its 1790797702 on 2006-08-12, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to E'Town Lung Specialist, Psc most recently updated or refreshed?

The details pertaining to the E'Town Lung Specialist, Psc, including its address, specialty, and other relevant information, were last updated or refreshed on 2016-01-13.

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