James G Vanbommel in Fond Du Lac - Nurse Anesthetist, Certified Registered
James G Vanbommel - NPI 1609904689
James G Vanbommel is a Nurse Anesthetist, Certified Registered in Fond Du Lac, Wisconsin. James G Vanbommel practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for James G Vanbommel is 1609904689. The last update date is 2007-07-08.
James G Vanbommel's current location address is 259 N Park Ave, Fond Du Lac, Wisconsin. You can contact this provider via phone number 9209218528. The mailing address for James G Vanbommel is 259 N Park Ave, Fond Du Lac, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | James G Vanbommel |
|---|---|
| Address | 259 N Park Ave, Fond Du Lac, Wisconsin |
| Phone Number | 9209218528 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | CRNA |
NPI Number Detail
| NPI Number | 1609904689 |
|---|---|
| Provider Enumeration Date | 2007-03-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 259 N Park Ave |
|---|---|
| City | Fond Du Lac |
| State | Wisconsin (WI) |
| Post Code | 549353540 |
| Phone Number | 9209218528 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Anesthetist, Certified Registered |
|---|---|
| Taxonomy | 367500000X |
| Licence No | 126-033 |
|
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 |
|---|---|---|---|
| 43418500 | WI | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to James G Vanbommel?
The James G Vanbommel has been issued the NPI (National Provider Identifier) 1609904689 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of James G Vanbommel?
The James G Vanbommel is situated at 259 N Park Ave, in the city of Fond Du Lac, state of WI, with the zip code 549353540.
What is the James G Vanbommel's specialty and taxonomy code?
The James G Vanbommel's specialty is Nurse Anesthetist, Certified Registered, and the corresponding taxonomy code is 367500000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1609904689 to James G Vanbommel?
The Centers for Medicare & Medicaid Services originally issued the 1609904689 to James G Vanbommel on 2007-03-01.
As of what date were the details related to James G Vanbommel most recently updated or revised?
The information pertaining to James G Vanbommel, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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