Roger Ishac in Plattsburgh - Student In An Organized Health Care Education/training Program

Roger Ishac - NPI 1902981871

Roger Ishac is a Student In An Organized Health Care Education/training Program in Plattsburgh, New York. Roger Ishac practices all healthcare services and medical treatments related to Student In An Organized Health Care Education/training Program. The NPI Number for Roger Ishac is 1902981871. The last update date is 2015-08-14.

Roger Ishac's current location address is 75 Beekman St., Plattsburgh, New York. You can contact this provider via phone number 5185632404. The mailing address for Roger Ishac is 75 Beekman St., Plattsburgh, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Roger Ishac
Address 75 Beekman St., Plattsburgh, New York
Phone Number 5185632404
Fax Number
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1902981871
Provider Enumeration Date 2006-10-26
Last Updated Date 2015-08-14

Provider Mailing Address Detail

Address 75 Beekman St.
City Plattsburgh
State New York (NY)
Post Code 12901
Phone Number 5185632404
Fax Number

Provider's Primary Taxonomy Detail

Speciality Student In An Organized Health Care Education/training Program
Taxonomy 390200000X
Licence No MT189586
Definition:
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
MD429478 PA PA MEDICAL LICENSE
MT189586 PA PA LICENSING DEPARTMENT

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FAQs about Roger Ishac

What is the Roger Ishac's unique identification number?

The Roger Ishac has been assigned the NPI (National Provider Identifier) Number 1902981871 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Can you provide the Roger Ishac's physical address?

The Roger Ishac is physically located at 75 Beekman St., in the city of Plattsburgh, NY, with the postal code 12901.

What is Roger Ishac's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Roger Ishac is Student In An Organized Health Care Education/training Program, and the taxonomy code that classifies this field of practice is 390200000X.

On what date did the Roger Ishac receive its 1902981871 assignment from the Centers for Medicare & Medicaid Services?

The Roger Ishac was assigned its 1902981871 by the Centers for Medicare & Medicaid Services on 2006-10-26.

When was the information regarding Roger Ishac, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Roger Ishac, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2015-08-14.

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