Bloomington Neurology, Pc in Bloomington - Specialist
Bloomington Neurology, Pc - NPI 1245354521
Bloomington Neurology, Pc is a Specialist in Bloomington, Indiana. Bloomington Neurology, Pc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Bloomington Neurology, Pc is 1245354521. The last update date is 2020-08-22.
Bloomington Neurology, Pc's current location address is 3800 Commodore Trl, Bloomington, Indiana. You can contact this provider via phone number 8123392429. The mailing address for Bloomington Neurology, Pc is 3800 Commodore Trl, Bloomington, Indiana. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Bloomington Neurology, Pc |
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Address | 3800 Commodore Trl, Bloomington, Indiana |
Phone Number | 8123392429 |
Fax Number | |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
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Authorized Official Name | Somers B Alan |
Credentials | MD |
Telephone Number | 8123392429 |
NPI Number Detail
NPI Number | 1245354521 |
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Provider Enumeration Date | 2007-03-19 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 3800 Commodore Trl |
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City | Bloomington |
State | Indiana (IN) |
Post Code | 474089423 |
Phone Number | 8123392429 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Specialist |
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Taxonomy | 174400000X |
Licence No | 01022349A |
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 provider identifier assigned to Bloomington Neurology, Pc?
The Bloomington Neurology, Pc has been issued the NPI (National Provider Identifier) 1245354521 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 Bloomington Neurology, Pc is geographically located?
The Bloomington Neurology, Pc is physically situated at the following location: 3800 Commodore Trl, Bloomington, IN, 474089423.
What is the Bloomington Neurology, Pc's area of specialization and corresponding taxonomy classification?
The Bloomington Neurology, Pc's specialty field is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their specialties.
When did Bloomington Neurology, Pc receive its 1245354521 assignment?
The Bloomington Neurology, Pc was assigned its 1245354521 on 2007-03-19, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Bloomington Neurology, Pc most recently updated or revised?
The details related to Bloomington Neurology, Pc, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.