Mindi N Valuckas in Randallstown - Surgical
Mindi N Valuckas - NPI 1053372664
Mindi N Valuckas is a Surgical in Randallstown, Maryland. Mindi N Valuckas practices all healthcare services and medical treatments related to Surgical. The NPI Number for Mindi N Valuckas is 1053372664. The last update date is 2007-11-29.
Mindi N Valuckas's current location address is 5401 Old Court Rd, Randallstown, Maryland. You can contact this provider via phone number 4106015524 and fax number 4106018946. The mailing address for Mindi N Valuckas is 5401 Old Court Rd, Randallstown, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mindi N Valuckas |
|---|---|
| Address | 5401 Old Court Rd, Randallstown, Maryland |
| Phone Number | 4106015524 |
| Fax Number | 4106018946 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1053372664 |
|---|---|
| Provider Enumeration Date | 2006-03-31 |
| Last Updated Date | 2007-11-29 |
Provider Mailing Address Detail
| Address | 5401 Old Court Rd |
|---|---|
| City | Randallstown |
| State | Maryland (MD) |
| Post Code | 211335103 |
| Phone Number | 4106015524 |
| Fax Number | 4106018946 |
Provider's Primary Taxonomy Detail
| Speciality | Surgical |
|---|---|
| Taxonomy | 363As0400X |
| Licence No | C0002486 |
|
Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| CN6601 | MD | R/R MEDICARE GROUP # | |
| P00370888 | MD | R/R MEDICARE PROVIDER # |
Post Comment/ Review Below
What is the unique provider identifier assigned to Mindi N Valuckas?
The Mindi N Valuckas has been issued the NPI (National Provider Identifier) 1053372664 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Mindi N Valuckas?
The Mindi N Valuckas is physically situated at 5401 Old Court Rd, in the city of Randallstown, state of MD, with the postal code 211335103.
What is the Mindi N Valuckas's specialty and taxonomy code?
The Mindi N Valuckas's specialty is Surgical, and the corresponding taxonomy code is 363As0400X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1053372664 to Mindi N Valuckas?
The Centers for Medicare & Medicaid Services originally issued the 1053372664 to Mindi N Valuckas on 2006-03-31.
When was the information pertaining to Mindi N Valuckas most recently updated or revised?
The details related to Mindi N Valuckas, including its address, specialty, and other relevant information, were last updated or revised on 2007-11-29.