John R Kallies is a Surgical in La Crosse, Wisconsin. John R Kallies practices all healthcare services and medical treatments related to Surgical. The NPI Number for John R Kallies is 1285630699. The last update date is 2013-10-24.
John R Kallies's current location address is 1836 South Ave, La Crosse, Wisconsin. You can contact this provider via phone number 6087827300. The mailing address for John R Kallies is 1836 South Ave, La Crosse, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John R Kallies |
|---|---|
| Address | 1836 South Ave, La Crosse, Wisconsin |
| Phone Number | 6087827300 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1285630699 |
|---|---|
| Provider Enumeration Date | 2005-06-22 |
| Last Updated Date | 2013-10-24 |
Provider Mailing Address Detail
| Address | 1836 South Ave |
|---|---|
| City | La Crosse |
| State | Wisconsin (WI) |
| Post Code | 546015429 |
| Phone Number | 6087827300 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Surgical |
|---|---|
| Taxonomy | 363As0400X |
| Licence No | 155 |
|
Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 42917600 | WI | -- |
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What is the unique 10-digit identification code issued to John R Kallies by the Centers for Medicare & Medicaid Services?
The John R Kallies has been assigned the NPI (National Provider Identifier) 1285630699 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where John R Kallies's facilities are geographically located?
The facilities of John R Kallies are physically situated at the following location: 1836 South Ave, La Crosse, WI, 546015429.
What is the John R Kallies's area of specialization and corresponding taxonomy classification?
The John R Kallies's specialty field is Surgical, and it falls under the taxonomy code 363As0400X, which categorizes healthcare providers based on their specialties.
On what date was the 1285630699 assigned to John R Kallies?
The John R Kallies was issued its 1285630699 on 2005-06-22, 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 John R Kallies, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to John R Kallies, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2013-10-24.