Jose G. Tandoc in Port Huron - Nurse Anesthetist, Certified Registered
Jose G. Tandoc - NPI 1457452294
Jose G. Tandoc is a Nurse Anesthetist, Certified Registered in Port Huron, Michigan. Jose G. Tandoc practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for Jose G. Tandoc is 1457452294. The last update date is 2007-07-08.
Jose G. Tandoc's current location address is 2601 Electric Ave, Port Huron, Michigan. You can contact this provider via phone number 8109851500 and fax number 8109663104. The mailing address for Jose G. Tandoc is 2601 Electric Ave, Port Huron, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jose G. Tandoc |
|---|---|
| Address | 2601 Electric Ave, Port Huron, Michigan |
| Phone Number | 8109851500 |
| Fax Number | 8109663104 |
| Sole Proprietor | N |
| Credentials | CRNA |
NPI Number Detail
| NPI Number | 1457452294 |
|---|---|
| Provider Enumeration Date | 2006-09-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2601 Electric Ave |
|---|---|
| City | Port Huron |
| State | Michigan (MI) |
| Post Code | 480606587 |
| Phone Number | 8109851500 |
| Fax Number | 8109663104 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Anesthetist, Certified Registered |
|---|---|
| Taxonomy | 367500000X |
| Licence No | 4704207032 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| JT207032 | MI | BLUE CROSS |
Post Comment/ Review Below
What is the Jose G. Tandoc's unique identification number?
The Jose G. Tandoc has been assigned the NPI (National Provider Identifier) Number 1457452294 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Jose G. Tandoc's physical address?
The Jose G. Tandoc is physically located at 2601 Electric Ave, in the city of Port Huron, MI, with the postal code 480606587.
What is Jose G. Tandoc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jose G. Tandoc's area of specialization is Nurse Anesthetist, Certified Registered, and the corresponding taxonomy code that categorizes this field of practice is 367500000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1457452294 to Jose G. Tandoc?
The Centers for Medicare & Medicaid Services originally issued the 1457452294 to Jose G. Tandoc on 2006-09-26.
When was the information regarding Jose G. Tandoc most recently updated?
The details pertaining to the Jose G. Tandoc, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.