Idelle Butler Shane in Galesburg - Specialist
Idelle Butler Shane - NPI 1275663114
Idelle Butler Shane is a Specialist in Galesburg, Illinois. Idelle Butler Shane practices all healthcare services and medical treatments related to Specialist. The NPI Number for Idelle Butler Shane is 1275663114. The last update date is 2007-07-08.
Idelle Butler Shane's current location address is 311 E. Main St. Ste.604, Galesburg, Illinois. You can contact this provider via phone number 3093422727. The mailing address for Idelle Butler Shane is 311 E. Main St. Ste.604, Galesburg, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Idelle Butler Shane |
|---|---|
| Address | 311 E. Main St. Ste.604, Galesburg, Illinois |
| Phone Number | 3093422727 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MSW BCD LC |
NPI Number Detail
| NPI Number | 1275663114 |
|---|---|
| Provider Enumeration Date | 2007-03-07 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 311 E. Main St. Ste.604 |
|---|---|
| City | Galesburg |
| State | Illinois (IL) |
| Post Code | 614014855 |
| Phone Number | 3093422727 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2425 | IL | BOARD CERT DIPLOMATE |
Post Comment/ Review Below
What is the Idelle Butler Shane's 1275663114?
The Idelle Butler Shane's NPI (National Provider Identifier) Number is 1275663114. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Idelle Butler Shane's physical address?
The Idelle Butler Shane is physically located at 311 E. Main St. Ste.604, in the city of Galesburg, IL, with the postal code 614014855.
What is the Idelle Butler Shane's area of specialization and corresponding taxonomy classification?
The Idelle Butler Shane's specialty field is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their specialties.
On what date did the Idelle Butler Shane receive the assignment of its 1275663114 from the Centers for Medicare & Medicaid Services?
The Idelle Butler Shane was issued its 1275663114 by the Centers for Medicare & Medicaid Services on 2007-03-07.
When was the information regarding Idelle Butler Shane, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Idelle Butler Shane, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.
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