Shaun J Westergard in Idaho Falls - Medical
Shaun J Westergard - NPI 1740461102
Shaun J Westergard is a Medical in Idaho Falls, Idaho. Shaun J Westergard practices all healthcare services and medical treatments related to Medical. The NPI Number for Shaun J Westergard is 1740461102. The last update date is 2023-12-04.
Shaun J Westergard's current location address is 2001 S Woodruff Ave Ste 9, Idaho Falls, Idaho. You can contact this provider via phone number 2084193002 and fax number 2086565652. The mailing address for Shaun J Westergard is 2001 S Woodruff Ave Ste 9, Idaho Falls, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shaun J Westergard |
|---|---|
| Address | 2001 S Woodruff Ave Ste 9, Idaho Falls, Idaho |
| Phone Number | 2084193002 |
| Fax Number | 2086565652 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1740461102 |
|---|---|
| Provider Enumeration Date | 2007-11-14 |
| Last Updated Date | 2023-12-04 |
Provider Mailing Address Detail
| Address | 2001 S Woodruff Ave Ste 9 |
|---|---|
| City | Idaho Falls |
| State | Idaho (ID) |
| Post Code | 834046371 |
| Phone Number | 2084193002 |
| Fax Number | 2086565652 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | PA710 |
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Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Shaun J Westergard by the Centers for Medicare & Medicaid Services?
The Shaun J Westergard has been assigned the NPI (National Provider Identifier) 1740461102 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Shaun J Westergard is located?
The Shaun J Westergard is situated at the following address: 2001 S Woodruff Ave Ste 9, Idaho Falls, ID, 834046371.
What is Shaun J Westergard's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Shaun J Westergard is Medical, and the taxonomy code that categorizes this field of expertise is 363Am0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1740461102 to Shaun J Westergard?
The Centers for Medicare & Medicaid Services originally issued the 1740461102 to Shaun J Westergard on 2007-11-14.
As of what date were the details pertaining to Shaun J Westergard last refreshed?
The information related to the Shaun J Westergard, including its address, specialty, and other relevant details, was last updated on 2023-12-04.
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