Eugene Henry Thiebaud in Charlotte - Surgical

Eugene Henry Thiebaud - NPI 1306821269

Eugene Henry Thiebaud is a Surgical in Charlotte, North Carolina. Eugene Henry Thiebaud practices all healthcare services and medical treatments related to Surgical. The NPI Number for Eugene Henry Thiebaud is 1306821269. The last update date is 2014-10-14.

Eugene Henry Thiebaud's current location address is Po Box 60447, Charlotte, North Carolina. You can contact this provider via phone number 3367187950 and fax number 3367187989. The mailing address for Eugene Henry Thiebaud is Po Box 60447, Charlotte, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Eugene Henry Thiebaud
Address Po Box 60447, Charlotte, North Carolina
Phone Number 3367187950
Fax Number 3367187989
Sole Proprietor N
Credentials PAC

NPI Number Detail

NPI Number 1306821269
Provider Enumeration Date 2005-12-13
Last Updated Date 2014-10-14

Provider Mailing Address Detail

Address Po Box 60447
City Charlotte
State North Carolina (NC)
Post Code 282600447
Phone Number 3367187950
Fax Number 3367187989

Provider's Primary Taxonomy Detail

Speciality Surgical
Taxonomy 363As0400X
Licence No 101957
Definition:
A licensed healthcare professional who assists in providing surgical care under physician supervision.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
94709 MEDCOST
970025236 RR MEDICARE
7400798 AETNA

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FAQs about Eugene Henry Thiebaud

What is the unique 10-digit identifier code assigned to Eugene Henry Thiebaud by the Centers for Medicare & Medicaid Services?

The Eugene Henry Thiebaud has been issued the NPI (National Provider Identifier) 1306821269 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Can you provide the Eugene Henry Thiebaud's physical address?

The Eugene Henry Thiebaud is physically located at Po Box 60447, in the city of Charlotte, NC, with the postal code 282600447.

What is the Eugene Henry Thiebaud's specialty and taxonomy code?

The Eugene Henry Thiebaud's specialty is Surgical, and the corresponding taxonomy code is 363As0400X.

When did Eugene Henry Thiebaud receive its 1306821269 assignment?

The Eugene Henry Thiebaud was assigned its 1306821269 on 2005-12-13, which is the date when this unique identifier was issued to the organization.

As of what date were the details related to Eugene Henry Thiebaud most recently updated or revised?

The information pertaining to Eugene Henry Thiebaud, including its address, specialty, and other relevant details, was last updated or revised on 2014-10-14.

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