Oliver Laurence Ezell in Mobile - Medical
Oliver Laurence Ezell - NPI 1831191113
Oliver Laurence Ezell is a Medical in Mobile, Alabama. Oliver Laurence Ezell practices all healthcare services and medical treatments related to Medical. The NPI Number for Oliver Laurence Ezell is 1831191113. The last update date is 2007-10-30.
Oliver Laurence Ezell's current location address is 1504 Springhill Ave, Mobile, Alabama. You can contact this provider via phone number 2514059914 and fax number 2514055317. The mailing address for Oliver Laurence Ezell is 1504 Springhill Ave, Mobile, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Oliver Laurence Ezell |
|---|---|
| Address | 1504 Springhill Ave, Mobile, Alabama |
| Phone Number | 2514059914 |
| Fax Number | 2514055317 |
| Sole Proprietor | N |
| Credentials | P.A.-C |
NPI Number Detail
| NPI Number | 1831191113 |
|---|---|
| Provider Enumeration Date | 2005-06-01 |
| Last Updated Date | 2007-10-30 |
Provider Mailing Address Detail
| Address | 1504 Springhill Ave |
|---|---|
| City | Mobile |
| State | Alabama (AL) |
| Post Code | 3660432070 |
| Phone Number | 2514059914 |
| Fax Number | 2514055317 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | PA-234 |
|
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 |
|---|---|---|---|
| 7722482 | AL | AETNA | |
| P20387 | AL | HEALTHSPRING/SENIORS 1ST | |
| 630477348034 | AL | TRICARE |
Post Comment/ Review Below
What is the unique identifier code issued to Oliver Laurence Ezell by the Centers for Medicare & Medicaid Services (CMS)?
The Oliver Laurence Ezell has been assigned the NPI (National Provider Identifier) 1831191113. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Oliver Laurence Ezell's facilities are geographically located?
The facilities of Oliver Laurence Ezell are physically situated at the following location: 1504 Springhill Ave, Mobile, AL, 3660432070.
What is the Oliver Laurence Ezell's specialty and taxonomy code?
The Oliver Laurence Ezell's specialty is Medical, and the corresponding taxonomy code is 363Am0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1831191113 to Oliver Laurence Ezell?
The Centers for Medicare & Medicaid Services assigned the 1831191113 to Oliver Laurence Ezell on 2005-06-01.
As of what date were the Oliver Laurence Ezell's details last updated?
The information pertaining to the Oliver Laurence Ezell, including its address, specialty, and other details, was most recently updated on 2007-10-30.
NPI Number: 1528061710
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