Susan Homolka is a Adult Health in Springfield, Oregon. Susan Homolka practices all healthcare services and medical treatments related to Adult Health. The NPI Number for Susan Homolka is 1174660179. The last update date is 2009-07-20.
Susan Homolka's current location address is 3456 Olympic St, Springfield, Oregon. You can contact this provider via phone number 5417297774. The mailing address for Susan Homolka is 3456 Olympic St, Springfield, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Homolka |
|---|---|
| Address | 3456 Olympic St, Springfield, Oregon |
| Phone Number | 5417297774 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | ANP |
NPI Number Detail
| NPI Number | 1174660179 |
|---|---|
| Provider Enumeration Date | 2007-01-31 |
| Last Updated Date | 2009-07-20 |
Provider Mailing Address Detail
| Address | 3456 Olympic St |
|---|---|
| City | Springfield |
| State | Oregon (OR) |
| Post Code | 974785574 |
| Phone Number | 5417297774 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Adult Health |
|---|---|
| Taxonomy | 363La2200X |
| Licence No | 200350028NP |
|
Definition: An advanced practice registered nurse expert in providing primary and specialty healthcare services to adult patients. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 292793 | OR | -- |
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What is the unique 10-digit identifier code assigned to Susan Homolka by the Centers for Medicare & Medicaid Services?
The Susan Homolka has been issued the NPI (National Provider Identifier) 1174660179 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Susan Homolka is located?
The Susan Homolka is situated at the following address: 3456 Olympic St, Springfield, OR, 974785574.
What is Susan Homolka's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Susan Homolka is Adult Health, and the corresponding taxonomy classification code for this specialized field is 363La2200X.
On what date did Susan Homolka receive its 1174660179 assignment from the Centers for Medicare & Medicaid Services?
The Susan Homolka was assigned its 1174660179 on 2007-01-31, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Susan Homolka's details last updated?
The information pertaining to the Susan Homolka, including its address, specialty, and other details, was most recently updated on 2009-07-20.
NPI Number: 1083611107
Address: 416 J Clyde Morris Blvd, Newport News, VA