George C Xakellis JR.
Family Doctor Family Doctor - Geriatric Medicine
500 East Veteran Street
Tomah
, Wisconsin 54660-1016
George C Xakellis JR.
Family Doctor Family Doctor - Geriatric Medicine
500 East Veteran Street
Tomah
, Wisconsin 54660-1016
(608) 372-1792
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About
Features
Specialties
- Family Doctor
- Family Doctor - Geriatric Medicine
Languages spoken
- English
Location
First Address
- George C Xakellis JR.
- 500 East Veteran Street
- Tomah, WI
- Zip : 54660-1016
- Phone : (608) 372-1792
Second Address
- George C Xakellis JR.
- 500 East Veteran Street
- Tomah, WI
- Zip : 54660-1016
- Phone : (608) 372-1792
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FAQs
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What type of doctor is George C Xakellis JR.
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Is George C Xakellis JR. a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | MD029031E | PA |
| N | 207QG0300X | Family Doctor - Geriatric Medicine | MD029031E | PA |
National Provider Identifier
| NPI | 1164418885 |
|---|---|
| Provider Name | George C Xakellis JR. |
| First Address | Tomah, WI 54660-1016 |
| Second Address | Tomah, WI 54660-1016 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/09/2005 |
| Last Update Date | 03/04/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1012794100001 | (05) | PA |
| 1738142 | HIGHMARK BLUE SHIELD (01) | PA |
| 50047703 | CAPITAL BLUE CROSS (01) | PA |
| B18104 | (02) | PA |
| B18104 | HEALTH ASSURANCE (01) | PA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.