Jessica Knearem in Shelbyville - Specialist

Jessica Knearem - NPI 1376579748

Jessica Knearem is a Specialist in Shelbyville, Illinois. Jessica Knearem practices all healthcare services and medical treatments related to Specialist. The NPI Number for Jessica Knearem is 1376579748. The last update date is 2007-07-08.

Jessica Knearem's current location address is 209 W South 1st St, Shelbyville, Illinois. You can contact this provider via phone number 2177744843 and fax number 2177744843. The mailing address for Jessica Knearem is 209 W South 1st St, Shelbyville, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Jessica Knearem
Address 209 W South 1st St, Shelbyville, Illinois
Phone Number 2177744843
Fax Number 2177744843
Sole Proprietor Y
Credentials --

NPI Number Detail

NPI Number 1376579748
Provider Enumeration Date 2006-06-25
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 209 W South 1st St
City Shelbyville
State Illinois (IL)
Post Code 625652203
Phone Number 2177744843
Fax Number 2177744843

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.

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FAQs about Jessica Knearem

What is the unique provider identifier assigned to Jessica Knearem?

The Jessica Knearem has been issued the NPI (National Provider Identifier) 1376579748 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical address where Jessica Knearem is geographically located?

The Jessica Knearem is physically situated at the following location: 209 W South 1St St, Shelbyville, IL, 625652203.

What is the Jessica Knearem's specialty and taxonomy code?

The Jessica Knearem's specialty is Specialist, and the corresponding taxonomy code is 174400000X.

When did Jessica Knearem receive its 1376579748 assignment?

The Jessica Knearem was assigned its 1376579748 on 2006-06-25, which is the date when this unique identifier was issued to the organization.

As of what date were the details related to Jessica Knearem most recently updated or revised?

The information pertaining to Jessica Knearem, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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