Jeanette W Georgen in Fairview Heights - Professional
Jeanette W Georgen - NPI 1124065602
Jeanette W Georgen is a Professional in Fairview Heights, Illinois. Jeanette W Georgen practices all healthcare services and medical treatments related to Professional. The NPI Number for Jeanette W Georgen is 1124065602. The last update date is 2007-07-08.
Jeanette W Georgen's current location address is 10314 Lincoln Trl, Fairview Heights, Illinois. You can contact this provider via phone number 6183948952 and fax number 6183948952. The mailing address for Jeanette W Georgen is 10314 Lincoln Trl, Fairview Heights, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeanette W Georgen |
|---|---|
| Address | 10314 Lincoln Trl, Fairview Heights, Illinois |
| Phone Number | 6183948952 |
| Fax Number | 6183948952 |
| Sole Proprietor | X |
| Credentials | MA, LCPC, |
NPI Number Detail
| NPI Number | 1124065602 |
|---|---|
| Provider Enumeration Date | 2006-06-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 10314 Lincoln Trl |
|---|---|
| City | Fairview Heights |
| State | Illinois (IL) |
| Post Code | 622081801 |
| Phone Number | 6183948952 |
| Fax Number | 6183948952 |
Provider's Primary Taxonomy Detail
| Speciality | Professional |
|---|---|
| Taxonomy | 101Yp2500X |
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Definition: A general counselor who helps people with personal, social, educational, and career issues. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 97-084 | ATR |
Post Comment/ Review Below
What is the unique identifier code issued to Jeanette W Georgen by the Centers for Medicare & Medicaid Services (CMS)?
The Jeanette W Georgen has been assigned the NPI (National Provider Identifier) 1124065602. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Jeanette W Georgen's facilities are situated?
The facilities of Jeanette W Georgen are physically located at the following address: 10314 Lincoln Trl, Fairview Heights, IL, 622081801.
What is Jeanette W Georgen's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jeanette W Georgen is Professional, and the corresponding taxonomy classification code for this specialized field is 101Yp2500X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1124065602 to Jeanette W Georgen?
The Centers for Medicare & Medicaid Services originally issued the 1124065602 to Jeanette W Georgen on 2006-06-01.
When was the information pertaining to Jeanette W Georgen most recently updated or revised?
The details related to Jeanette W Georgen, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.