Allen Kent Brunkhardt in Wataga - Case Management

Allen Kent Brunkhardt - NPI 1265656953

Allen Kent Brunkhardt is a Case Management in Wataga, Illinois. Allen Kent Brunkhardt practices all healthcare services and medical treatments related to Case Management. The NPI Number for Allen Kent Brunkhardt is 1265656953. The last update date is 2009-04-14.

Allen Kent Brunkhardt's current location address is 199 Lakeview Dr, Wataga, Illinois. You can contact this provider via phone number 3093686708. The mailing address for Allen Kent Brunkhardt is 199 Lakeview Dr, Wataga, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Allen Kent Brunkhardt
Address 199 Lakeview Dr, Wataga, Illinois
Phone Number 3093686708
Fax Number
Sole Proprietor N
Credentials RN

NPI Number Detail

NPI Number 1265656953
Provider Enumeration Date 2007-04-12
Last Updated Date 2009-04-14

Provider Mailing Address Detail

Address 199 Lakeview Dr
City Wataga
State Illinois (IL)
Post Code 614889604
Phone Number 3093686708
Fax Number

Provider's Primary Taxonomy Detail

Speciality Case Management
Taxonomy 163Wc0400X
Licence No 041-326520
Definition:
A registered nurse who coordinates patient care services and resources.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
105104 IA R N LICENSE
41.32652 IL RN LICENSE
370984175 IL BEAY INC FEIN

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FAQs about Allen Kent Brunkhardt

What is the unique identifier code issued to Allen Kent Brunkhardt by the Centers for Medicare & Medicaid Services?

The Allen Kent Brunkhardt has been assigned the NPI (National Provider Identifier) 1265656953. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Allen Kent Brunkhardt's facilities are situated?

The facilities of Allen Kent Brunkhardt are physically located at the following address: 199 Lakeview Dr, Wataga, IL, 614889604.

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

The area of specialization for Allen Kent Brunkhardt is Case Management, and the taxonomy code that classifies this field of practice is 163Wc0400X.

When was the Allen Kent Brunkhardt's 1265656953 issued?

The Allen Kent Brunkhardt's 1265656953 was issued on 2007-04-12.

When was the information related to Allen Kent Brunkhardt most recently updated or refreshed?

The details pertaining to the Allen Kent Brunkhardt, including its address, specialty, and other relevant information, were last updated or refreshed on 2009-04-14.

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