Deborah Jane Collier-Barstad in Southgate - Pediatrics

Deborah Jane Collier-Barstad - NPI 1114064698

Deborah Jane Collier-Barstad is a Pediatrics in Southgate, Michigan. Deborah Jane Collier-Barstad practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Deborah Jane Collier-Barstad is 1114064698. The last update date is 2007-07-09.

Deborah Jane Collier-Barstad's current location address is 15255 Northline Rd, Southgate, Michigan. You can contact this provider via phone number 7342853090 and fax number 7342853095. The mailing address for Deborah Jane Collier-Barstad is 15255 Northline Rd, Southgate, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Deborah Jane Collier-Barstad
Address 15255 Northline Rd, Southgate, Michigan
Phone Number 7342853090
Fax Number 7342853095
Sole Proprietor N
Credentials M.S.N.

NPI Number Detail

NPI Number 1114064698
Provider Enumeration Date 2007-01-31
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 15255 Northline Rd
City Southgate
State Michigan (MI)
Post Code 4819524870
Phone Number 7342853090
Fax Number 7342853095

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 363Lp0200X
Licence No 4704158669
Definition:
An advanced practice registered nurse expert in providing care to infants, children and adolescents.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
50-0-86-6148-0 MI BCBSM PIN
296-0240 MI --

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FAQs about Deborah Jane Collier-Barstad

What is the unique identifier code issued to Deborah Jane Collier-Barstad by the Centers for Medicare & Medicaid Services (CMS)?

The Deborah Jane Collier-Barstad has been assigned the NPI (National Provider Identifier) 1114064698. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete street address where Deborah Jane Collier-Barstad is physically located?

The Deborah Jane Collier-Barstad is physically situated at the following address: 15255 Northline Rd, Southgate, MI, 4819524870.

What is Deborah Jane Collier-Barstad's area of expertise and its corresponding taxonomy classification?

The Deborah Jane Collier-Barstad's field of specialization is Pediatrics, and it falls under the taxonomy code 363Lp0200X, which categorizes healthcare providers based on their areas of practice.

When was the Deborah Jane Collier-Barstad's 1114064698 issued?

The Deborah Jane Collier-Barstad's 1114064698 was issued on 2007-01-31.

As of what date was the information regarding Deborah Jane Collier-Barstad, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Deborah Jane Collier-Barstad, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-09.

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