Duane C Jaeger in Wichita - Psychiatric/mental Health, Adult
Duane C Jaeger - NPI 1659324663
Duane C Jaeger is a Psychiatric/mental Health, Adult in Wichita, Kansas. Duane C Jaeger practices all healthcare services and medical treatments related to Psychiatric/mental Health, Adult. The NPI Number for Duane C Jaeger is 1659324663. The last update date is 2007-07-08.
Duane C Jaeger's current location address is 828 Shady Way, Wichita, Kansas. You can contact this provider via phone number 3166513621 and fax number 3166815570. The mailing address for Duane C Jaeger is 828 Shady Way, Wichita, Kansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Duane C Jaeger |
|---|---|
| Address | 828 Shady Way, Wichita, Kansas |
| Phone Number | 3166513621 |
| Fax Number | 3166815570 |
| Sole Proprietor | X |
| Credentials | ARNP, BC |
NPI Number Detail
| NPI Number | 1659324663 |
|---|---|
| Provider Enumeration Date | 2006-05-19 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 828 Shady Way |
|---|---|
| City | Wichita |
| State | Kansas (KS) |
| Post Code | 672033416 |
| Phone Number | 3166513621 |
| Fax Number | 3166815570 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatric/mental Health, Adult |
|---|---|
| Taxonomy | 364Sp0809X |
| Licence No | 74618 |
|
Definition: A psychiatric clinical nurse specialist expert in caring for adult patients. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 74618 | KS | PSYCHIATRIC CERTIFICATION | |
| 14-052505-012 | KS | RN LICENSE |
Post Comment/ Review Below
What is the unique identification code assigned to Duane C Jaeger by the Centers for Medicare & Medicaid Services?
The Duane C Jaeger has been issued the NPI (National Provider Identifier) 1659324663. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Duane C Jaeger is located?
The Duane C Jaeger is situated at the following address: 828 Shady Way, Wichita, KS, 672033416.
What is Duane C Jaeger's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Duane C Jaeger's specialized field of practice is Psychiatric/mental Health, Adult, and the corresponding taxonomy code that categorizes this area of specialization is 364Sp0809X.
On what date did the Duane C Jaeger receive the assignment of its 1659324663 from the Centers for Medicare & Medicaid Services?
The Duane C Jaeger was issued its 1659324663 by the Centers for Medicare & Medicaid Services on 2006-05-19.
As of what date were the details related to Duane C Jaeger most recently updated or revised?
The information pertaining to Duane C Jaeger, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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