Thomas J Shula in Rockford - Specialist

Thomas J Shula - NPI 1760486245

Thomas J Shula is a Specialist in Rockford, Illinois. Thomas J Shula practices all healthcare services and medical treatments related to Specialist. The NPI Number for Thomas J Shula is 1760486245. The last update date is 2016-02-23.

Thomas J Shula's current location address is 444 Roxbury Rd, Rockford, Illinois. You can contact this provider via phone number 8152275600 and fax number 8152279242. The mailing address for Thomas J Shula is 444 Roxbury Rd, Rockford, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Thomas J Shula
Address 444 Roxbury Rd, Rockford, Illinois
Phone Number 8152275600
Fax Number 8152279242
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1760486245
Provider Enumeration Date 2005-06-13
Last Updated Date 2016-02-23

Provider Mailing Address Detail

Address 444 Roxbury Rd
City Rockford
State Illinois (IL)
Post Code 6110750590
Phone Number 8152275600
Fax Number 8152279242

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 36074760
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
36074760 IL --

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FAQs about Thomas J Shula

What is the unique identifier code issued to Thomas J Shula by the Centers for Medicare & Medicaid Services?

The Thomas J Shula has been assigned the NPI (National Provider Identifier) 1760486245. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Where is the Thomas J Shula located?

The Thomas J Shula is located at 444 Roxbury Rd, Rockford, IL 6110750590.

What is Thomas J Shula's area of expertise and its corresponding taxonomy classification?

The Thomas J Shula's field of specialization is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their areas of practice.

On what date was the 1760486245 assigned to Thomas J Shula?

The Thomas J Shula was issued its 1760486245 on 2005-06-13, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Thomas J Shula most recently updated or revised?

The details related to Thomas J Shula, including its address, specialty, and other relevant information, were last updated or revised on 2016-02-23.

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