Stephen H Jennison in Springfield - Specialist

Stephen H Jennison - NPI 1043391766

Stephen H Jennison is a Specialist in Springfield, Illinois. Stephen H Jennison practices all healthcare services and medical treatments related to Specialist. The NPI Number for Stephen H Jennison is 1043391766. The last update date is 2008-06-02.

Stephen H Jennison's current location address is Po Box 19420, Springfield, Illinois. You can contact this provider via phone number 2177880706 and fax number 2175252535. The mailing address for Stephen H Jennison is Po Box 19420, Springfield, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Stephen H Jennison
Address Po Box 19420, Springfield, Illinois
Phone Number 2177880706
Fax Number 2175252535
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1043391766
Provider Enumeration Date 2006-10-18
Last Updated Date 2008-06-02

Provider Mailing Address Detail

Address Po Box 19420
City Springfield
State Illinois (IL)
Post Code 627949420
Phone Number 2177880706
Fax Number 2175252535

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 036-091807
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
60031123 IL RAILROAD

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FAQs about Stephen H Jennison

What is the unique 10-digit identifier code issued to Stephen H Jennison by the Centers for Medicare & Medicaid Services?

The Stephen H Jennison has been assigned the NPI (National Provider Identifier) 1043391766 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete address where Stephen H Jennison is physically located?

The Stephen H Jennison is situated at the following address: Po Box 19420, Springfield, IL 627949420.

What is Stephen H Jennison's area of expertise and its corresponding taxonomy classification?

The Stephen H Jennison'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 did Stephen H Jennison receive its 1043391766 assignment from the Centers for Medicare & Medicaid Services?

The Stephen H Jennison was assigned its 1043391766 on 2006-10-18, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the Stephen H Jennison's details last updated?

The information pertaining to the Stephen H Jennison, including its address, specialty, and other details, was most recently updated on 2008-06-02.

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