NPI 1003249996 IVY MEGAN PAIGE CST NORMAL IL. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Ivy Megan Paige - NPI: 1003249996

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: IVY MEGAN PAIGE
NPI Number: 1003249996
Entity Type Code: Individual (1)
Gender: F
Credentials: CST
License Number:
Business Practice Address: 1604 Visa Dr
Ste. 2 Normal, IL - 617612195
Business Phone Number: 3098464716
Business Fax Number: 3094547348
Mailing Address: 1604 Visa Dr, Ste. 2
NORMAL
State: IL
Postal Code: 617612195
Phone Number: 3098464716
Fax Number:
NPI Enumeration Date: 08/14/2013
NPI Last Update Date: 08/14/2013
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 246ZS0410X
License Number:
Healthcare Provider Taxonomy:
(Secondary)
Y
State:
Taxonomy Type:
Taxonomy Classification:
Taxonomy Specialization:
Taxonomy Definition:


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