Elizabeth Nietert in Springfield - Dermatology
Elizabeth Nietert - NPI 1619199072
Elizabeth Nietert is a Dermatology in Springfield, Illinois. Elizabeth Nietert practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Elizabeth Nietert is 1619199072. The last update date is 2023-03-07.
Elizabeth Nietert's current location address is Po Box 19644, Springfield, Illinois. You can contact this provider via phone number 2175458000 and fax number 2175454485. The mailing address for Elizabeth Nietert is Po Box 19644, Springfield, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Elizabeth Nietert |
|---|---|
| Address | Po Box 19644, Springfield, Illinois |
| Phone Number | 2175458000 |
| Fax Number | 2175454485 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1619199072 |
|---|---|
| Provider Enumeration Date | 2007-05-03 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | Po Box 19644 |
|---|---|
| City | Springfield |
| State | Illinois (IL) |
| Post Code | 627949644 |
| Phone Number | 2175458000 |
| Fax Number | 2175454485 |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
| Licence No | 54439-020 |
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Definition: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36130434 | IL | -- | |
| 1619199072 | WI | -- | |
| 171400024 | WI | MEDICARE | |
| 54439-020 | WI | STATE LICENSE |
Post Comment/ Review Below
What is the unique provider identifier assigned to Elizabeth Nietert?
The Elizabeth Nietert has been issued the NPI (National Provider Identifier) 1619199072 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Elizabeth Nietert is located?
The Elizabeth Nietert is situated at the following address: Po Box 19644, Springfield, IL, 627949644.
What is the Elizabeth Nietert's area of specialization and corresponding taxonomy classification?
The Elizabeth Nietert's specialty field is Dermatology, and it falls under the taxonomy code 207N00000X, which categorizes healthcare providers based on their specialties.
On what date did the Elizabeth Nietert receive the assignment of its 1619199072 from the Centers for Medicare & Medicaid Services?
The Elizabeth Nietert was issued its 1619199072 by the Centers for Medicare & Medicaid Services on 2007-05-03.
As of what date was the information regarding Elizabeth Nietert, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Elizabeth Nietert, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-03-07.