Jeremy M. Pitzer is a Clinical in Mattoon, Illinois. Jeremy M. Pitzer practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jeremy M. Pitzer is 1740348861. The last update date is 2009-03-19.
Jeremy M. Pitzer's current location address is 750 Broadway Ave E, Mattoon, Illinois. You can contact this provider via phone number 2172385700 and fax number 2172385767. The mailing address for Jeremy M. Pitzer is 750 Broadway Ave E, Mattoon, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeremy M. Pitzer |
|---|---|
| Address | 750 Broadway Ave E, Mattoon, Illinois |
| Phone Number | 2172385700 |
| Fax Number | 2172385767 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1740348861 |
|---|---|
| Provider Enumeration Date | 2006-12-04 |
| Last Updated Date | 2009-03-19 |
Provider Mailing Address Detail
| Address | 750 Broadway Ave E |
|---|---|
| City | Mattoon |
| State | Illinois (IL) |
| Post Code | 619384610 |
| Phone Number | 2172385700 |
| Fax Number | 2172385767 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 149.011326 |
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What is the unique 10-digit identifier code issued to Jeremy M. Pitzer by the Centers for Medicare & Medicaid Services?
The Jeremy M. Pitzer has been assigned the NPI (National Provider Identifier) 1740348861 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Jeremy M. Pitzer?
The Jeremy M. Pitzer is situated at 750 Broadway Ave E, in the city of Mattoon, state of IL, with the zip code 619384610.
What is Jeremy M. Pitzer's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jeremy M. Pitzer is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.
On what date was the 1740348861 assigned to Jeremy M. Pitzer?
The Jeremy M. Pitzer was issued its 1740348861 on 2006-12-04, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Jeremy M. Pitzer last refreshed?
The information related to the Jeremy M. Pitzer, including its address, specialty, and other relevant details, was last updated on 2009-03-19.
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