Jason Louis Iltz is a Pain in Valleyford, Washington. Jason Louis Iltz practices all healthcare services and medical treatments related to Pain. The NPI Number for Jason Louis Iltz is 1528056108. The last update date is 2010-03-26.
Jason Louis Iltz's current location address is Po Box 404, Valleyford, Washington. You can contact this provider via phone number 5099791926. The mailing address for Jason Louis Iltz is Po Box 404, Valleyford, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jason Louis Iltz |
|---|---|
| Address | Po Box 404, Valleyford, Washington |
| Phone Number | 5099791926 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | B.PHARM., |
NPI Number Detail
| NPI Number | 1528056108 |
|---|---|
| Provider Enumeration Date | 2005-10-08 |
| Last Updated Date | 2010-03-26 |
Provider Mailing Address Detail
| Address | Po Box 404 |
|---|---|
| City | Valleyford |
| State | Washington (WA) |
| Post Code | 990360404 |
| Phone Number | 5099791926 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pain |
|---|---|
| Taxonomy | 261Qp3300X |
| Licence No | PH00019404 |
|
Definition: Evaluates and manages acute and chronic pain through interventional, behavioral and alternative approaches. |
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Post Comment/ Review Below
What is the unique identifier code issued to Jason Louis Iltz by the Centers for Medicare & Medicaid Services (CMS)?
The Jason Louis Iltz has been assigned the NPI (National Provider Identifier) 1528056108. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Jason Louis Iltz's physical address?
The Jason Louis Iltz is physically located at Po Box 404, in the city of Valleyford, WA, with the postal code 990360404.
What is Jason Louis Iltz's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jason Louis Iltz is Pain, and the taxonomy code that classifies this field of practice is 261Qp3300X.
On what date was the 1528056108 assigned to Jason Louis Iltz?
The Jason Louis Iltz was issued its 1528056108 on 2005-10-08, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Jason Louis Iltz, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jason Louis Iltz, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2010-03-26.
NPI Number: 1528061710
Address: 19 Nh Route 104, Meredith, NH