Jerrol Noller Md Ltd in Anoka - Medical Specialty
Jerrol Noller Md Ltd - NPI 1821257593
Jerrol Noller Md Ltd is a Medical Specialty in Anoka, Minnesota. Jerrol Noller Md Ltd practices all healthcare services and medical treatments related to Medical Specialty. The NPI Number for Jerrol Noller Md Ltd is 1821257593. The last update date is 2008-06-06.
Jerrol Noller Md Ltd's current location address is 1416 Oakwood Dr, Anoka, Minnesota. You can contact this provider via phone number 7634338300 and fax number 7634338308. The mailing address for Jerrol Noller Md Ltd is 1416 Oakwood Dr, Anoka, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jerrol Noller Md Ltd |
|---|---|
| Address | 1416 Oakwood Dr, Anoka, Minnesota |
| Phone Number | 7634338300 |
| Fax Number | 7634338308 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Noller Jay Jerrol |
| Credentials | MD |
| Telephone Number | 7634276897 |
NPI Number Detail
| NPI Number | 1821257593 |
|---|---|
| Provider Enumeration Date | 2008-06-06 |
| Last Updated Date | 2008-06-06 |
Provider Mailing Address Detail
| Address | 1416 Oakwood Dr |
|---|---|
| City | Anoka |
| State | Minnesota (MN) |
| Post Code | 553032747 |
| Phone Number | 7634338300 |
| Fax Number | 7634338308 |
Provider's Primary Taxonomy Detail
| Speciality | Medical Specialty |
|---|---|
| Taxonomy | 261Qm2500X |
| Licence No | 23068 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 774888400 | MN | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Jerrol Noller Md Ltd by the Centers for Medicare & Medicaid Services (CMS)?
The Jerrol Noller Md Ltd has been assigned the NPI (National Provider Identifier) 1821257593. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Jerrol Noller Md Ltd?
The Jerrol Noller Md Ltd is situated at 1416 Oakwood Dr, in the city of Anoka, state of MN, with the zip code 553032747.
What is Jerrol Noller Md Ltd's area of expertise and its corresponding taxonomy classification?
The Jerrol Noller Md Ltd's field of specialization is Medical Specialty, and it falls under the taxonomy code 261Qm2500X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1821257593 to Jerrol Noller Md Ltd?
The Centers for Medicare & Medicaid Services originally issued the 1821257593 to Jerrol Noller Md Ltd on 2008-06-06.
As of what date were the Jerrol Noller Md Ltd's details last updated?
The information pertaining to the Jerrol Noller Md Ltd, including its address, specialty, and other details, was most recently updated on 2008-06-06.