Mitch D. Poppens is a Medical in Madison, South Dakota. Mitch D. Poppens practices all healthcare services and medical treatments related to Medical. The NPI Number for Mitch D. Poppens is 1144207879. The last update date is 2017-02-21.
Mitch D. Poppens's current location address is 323 Sw 10th St, Madison, South Dakota. You can contact this provider via phone number 6052566551 and fax number 6052566469. The mailing address for Mitch D. Poppens is 323 Sw 10th St, Madison, South Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mitch D. Poppens |
|---|---|
| Address | 323 Sw 10th St, Madison, South Dakota |
| Phone Number | 6052566551 |
| Fax Number | 6052566469 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1144207879 |
|---|---|
| Provider Enumeration Date | 2005-12-23 |
| Last Updated Date | 2017-02-21 |
Provider Mailing Address Detail
| Address | 323 Sw 10th St |
|---|---|
| City | Madison |
| State | South Dakota (SD) |
| Post Code | 570423200 |
| Phone Number | 6052566551 |
| Fax Number | 6052566469 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 522 |
|
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 |
|---|---|---|---|
| 6824594 | SD | -- |
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What is the unique 10-digit identification code issued to Mitch D. Poppens by the Centers for Medicare & Medicaid Services?
The Mitch D. Poppens has been assigned the NPI (National Provider Identifier) 1144207879 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Mitch D. Poppens?
The Mitch D. Poppens is physically situated at 323 Sw 10Th St, in the city of Madison, state of SD, with the postal code 570423200.
What is the Mitch D. Poppens's specialty and taxonomy code?
The Mitch D. Poppens's specialty is Medical, and the corresponding taxonomy code is 363Am0700X.
On what date did the Mitch D. Poppens receive its 1144207879 assignment from the Centers for Medicare & Medicaid Services?
The Mitch D. Poppens was assigned its 1144207879 by the Centers for Medicare & Medicaid Services on 2005-12-23.
When was the information regarding Mitch D. Poppens, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Mitch D. Poppens, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2017-02-21.