David A Fetter is a Specialist in Waukegan, Illinois. David A Fetter practices all healthcare services and medical treatments related to Specialist. The NPI Number for David A Fetter is 1871588186. The last update date is 2010-08-18.
David A Fetter's current location address is 2626 Washington St, Waukegan, Illinois. You can contact this provider via phone number 8475999500 and fax number 8475999485. The mailing address for David A Fetter is 2626 Washington St, Waukegan, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David A Fetter |
|---|---|
| Address | 2626 Washington St, Waukegan, Illinois |
| Phone Number | 8475999500 |
| Fax Number | 8475999485 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1871588186 |
|---|---|
| Provider Enumeration Date | 2005-09-13 |
| Last Updated Date | 2010-08-18 |
Provider Mailing Address Detail
| Address | 2626 Washington St |
|---|---|
| City | Waukegan |
| State | Illinois (IL) |
| Post Code | 600854917 |
| Phone Number | 8475999500 |
| Fax Number | 8475999485 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 36057645 |
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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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What is the unique 10-digit identification code issued to David A Fetter by the Centers for Medicare & Medicaid Services?
The David A Fetter has been assigned the NPI (National Provider Identifier) 1871588186 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where David A Fetter is physically located?
The David A Fetter is physically situated at the following address: 2626 Washington St, Waukegan, IL, 600854917.
What is David A Fetter's specialized field of practice, and what is the corresponding taxonomy classification code?
The David A Fetter's area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1871588186 to David A Fetter?
The David A Fetter received its 1871588186 assignment from the Centers for Medicare & Medicaid Services on 2005-09-13.
When was the David A Fetter's information last updated?
The David A Fetter's information was last updated on 2010-08-18.
NPI Number: 1417950320
Address: 1395 Center Drive, D7-6a, Box 100416, Gainesville, FL