Thomas Edwin Nielsen in Bloomington - Phlebology
Thomas Edwin Nielsen - NPI 1871521757
Thomas Edwin Nielsen is a Phlebology in Bloomington, Illinois. Thomas Edwin Nielsen practices all healthcare services and medical treatments related to Phlebology. The NPI Number for Thomas Edwin Nielsen is 1871521757. The last update date is 2014-03-25.
Thomas Edwin Nielsen's current location address is 3302 Gerig Dr, Bloomington, Illinois. You can contact this provider via phone number 3098624000 and fax number 3098624055. The mailing address for Thomas Edwin Nielsen is 3302 Gerig Dr, Bloomington, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Thomas Edwin Nielsen |
|---|---|
| Address | 3302 Gerig Dr, Bloomington, Illinois |
| Phone Number | 3098624000 |
| Fax Number | 3098624055 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1871521757 |
|---|---|
| Provider Enumeration Date | 2006-06-29 |
| Last Updated Date | 2014-03-25 |
Provider Mailing Address Detail
| Address | 3302 Gerig Dr |
|---|---|
| City | Bloomington |
| State | Illinois (IL) |
| Post Code | 617046365 |
| Phone Number | 3098624000 |
| Fax Number | 3098624055 |
Provider's Primary Taxonomy Detail
| Speciality | Phlebology |
|---|---|
| Taxonomy | 202K00000X |
| Licence No | 36065215 |
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Definition: Phlebology is the medical discipline that involves the diagnosis and treatment of venous disorders, including spider veins, varicose veins, chronic venous insufficiency, venous leg ulcers, congenital venous abnormalities, venous thromboembolism and o |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5721369 | IL | BC/BS |
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What is the unique 10-digit identification code assigned to Thomas Edwin Nielsen by the Centers for Medicare & Medicaid Services?
The Thomas Edwin Nielsen has been issued the NPI (National Provider Identifier) 1871521757, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Thomas Edwin Nielsen located?
The Thomas Edwin Nielsen is located at 3302 Gerig Dr, Bloomington, IL 617046365.
What is Thomas Edwin Nielsen's area of expertise and its corresponding taxonomy classification?
The Thomas Edwin Nielsen's field of specialization is Phlebology, and it falls under the taxonomy code 202K00000X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1871521757 assigned to Thomas Edwin Nielsen?
The Thomas Edwin Nielsen was issued its 1871521757 on 2006-06-29, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Thomas Edwin Nielsen, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Thomas Edwin Nielsen, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2014-03-25.
NPI Number: 1932102142
Address: St. Jude Children's Research Hospital, Memphis, TN