Vickie Christine Gerdon in Southington - Medical

Vickie Christine Gerdon - NPI 1134194798

Vickie Christine Gerdon is a Medical in Southington, Connecticut. Vickie Christine Gerdon practices all healthcare services and medical treatments related to Medical. The NPI Number for Vickie Christine Gerdon is 1134194798. The last update date is 2012-12-17.

Vickie Christine Gerdon's current location address is 1131 West St, Southington, Connecticut. You can contact this provider via phone number 8606217682. The mailing address for Vickie Christine Gerdon is 1131 West St, Southington, Connecticut. To know further, please read the information below!

Provider Profile Detail

Provider Name Vickie Christine Gerdon
Address 1131 West St, Southington, Connecticut
Phone Number 8606217682
Fax Number
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1134194798
Provider Enumeration Date 2006-02-17
Last Updated Date 2012-12-17

Provider Mailing Address Detail

Address 1131 West St
City Southington
State Connecticut (CT)
Post Code 64896006
Phone Number 8606217682
Fax Number

Provider's Primary Taxonomy Detail

Speciality Medical
Taxonomy 363Am0700X
Licence No 428
Definition:
A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
428 CT CTCARE PROVIDER #
217217 CT PREFERRED ONE

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FAQs about Vickie Christine Gerdon

What is the Vickie Christine Gerdon's unique identification number?

The Vickie Christine Gerdon has been assigned the NPI (National Provider Identifier) Number 1134194798 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete physical address where Vickie Christine Gerdon is located?

The Vickie Christine Gerdon is situated at the following address: 1131 West St, Southington, CT, 64896006.

What is Vickie Christine Gerdon's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Vickie Christine Gerdon is Medical, and the taxonomy code that categorizes this field of expertise is 363Am0700X.

On what date did the Centers for Medicare & Medicaid Services assign the 1134194798 to Vickie Christine Gerdon?

The Centers for Medicare & Medicaid Services assigned the 1134194798 to Vickie Christine Gerdon on 2006-02-17.

When was the information regarding Vickie Christine Gerdon, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Vickie Christine Gerdon, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2012-12-17.

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