Walter Laesch in Champaign - Nurse Anesthetist, Certified Registered
Walter Laesch - NPI 1639152952
Walter Laesch is a Nurse Anesthetist, Certified Registered in Champaign, Illinois. Walter Laesch practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for Walter Laesch is 1639152952. The last update date is 2011-10-05.
Walter Laesch's current location address is 1016 W Union St, Champaign, Illinois. You can contact this provider via phone number 2173592752 and fax number 2173598923. The mailing address for Walter Laesch is 1016 W Union St, Champaign, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Walter Laesch |
|---|---|
| Address | 1016 W Union St, Champaign, Illinois |
| Phone Number | 2173592752 |
| Fax Number | 2173598923 |
| Sole Proprietor | N |
| Credentials | C.R.N.A. |
NPI Number Detail
| NPI Number | 1639152952 |
|---|---|
| Provider Enumeration Date | 2005-11-21 |
| Last Updated Date | 2011-10-05 |
Provider Mailing Address Detail
| Address | 1016 W Union St |
|---|---|
| City | Champaign |
| State | Illinois (IL) |
| Post Code | 618213322 |
| Phone Number | 2173592752 |
| Fax Number | 2173598923 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Anesthetist, Certified Registered |
|---|---|
| Taxonomy | 367500000X |
| Licence No | 209-000371 |
|
Definition: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9223524 | IL | BC/BS GROUP ID NO. | |
| 371390028001 | IL | TRICARE GROUP ID NO. | |
| 216564000 | IL | WORKMAN'S COMP GROUP ID | |
| CG3273 | IL | RR MEDICARE GROUP ID NO. | |
| 430052840 | IL | RR MEDICARE GROUP ID NO. |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Walter Laesch by the Centers for Medicare & Medicaid Services?
The Walter Laesch has been issued the NPI (National Provider Identifier) 1639152952 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Walter Laesch is physically located?
The Walter Laesch is physically situated at the following address: 1016 W Union St, Champaign, IL, 618213322.
What is Walter Laesch's area of expertise and its corresponding taxonomy classification?
The Walter Laesch's field of specialization is Nurse Anesthetist, Certified Registered, and it falls under the taxonomy code 367500000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Walter Laesch receive the assignment of its 1639152952 from the Centers for Medicare & Medicaid Services?
The Walter Laesch was issued its 1639152952 by the Centers for Medicare & Medicaid Services on 2005-11-21.
As of what date were the details related to Walter Laesch most recently updated or revised?
The information pertaining to Walter Laesch, including its address, specialty, and other relevant details, was last updated or revised on 2011-10-05.