Kristine P Pultorak in Dixon - Emergency Medicine
Kristine P Pultorak - NPI 1306814298
Kristine P Pultorak is a Emergency Medicine in Dixon, Illinois. Kristine P Pultorak practices all healthcare services and medical treatments related to Emergency Medicine. The NPI Number for Kristine P Pultorak is 1306814298. The last update date is 2022-11-17.
Kristine P Pultorak's current location address is 403 E 1st St, Dixon, Illinois. You can contact this provider via phone number 8152885561 and fax number 8152855859. The mailing address for Kristine P Pultorak is 403 E 1st St, Dixon, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kristine P Pultorak |
|---|---|
| Address | 403 E 1st St, Dixon, Illinois |
| Phone Number | 8152885561 |
| Fax Number | 8152855859 |
| Sole Proprietor | N |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1306814298 |
|---|---|
| Provider Enumeration Date | 2006-03-08 |
| Last Updated Date | 2022-11-17 |
Provider Mailing Address Detail
| Address | 403 E 1st St |
|---|---|
| City | Dixon |
| State | Illinois (IL) |
| Post Code | 610213116 |
| Phone Number | 8152885561 |
| Fax Number | 8152855859 |
Provider's Primary Taxonomy Detail
| Speciality | Emergency Medicine |
|---|---|
| Taxonomy | 207P00000X |
| Licence No | 36.092252 |
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Definition: An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36092252 | IL | -- | |
| 800200006 | IL | MEDICARE | |
| 381220005 | IL | MEDICARE |
Post Comment/ Review Below
What is the Kristine P Pultorak's 1306814298?
The Kristine P Pultorak's NPI (National Provider Identifier) Number is 1306814298. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
What is the unique identifier code issued to Kristine P Pultorak by the Centers for Medicare & Medicaid Services (CMS)?
The Kristine P Pultorak has been assigned the NPI (National Provider Identifier) 1306814298. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Kristine P Pultorak?
The Kristine P Pultorak is physically situated at 403 E 1St St, in the city of Dixon, state of IL, with the postal code 610213116.
On what date did the Centers for Medicare & Medicaid Services issue the 1306814298 to Kristine P Pultorak?
The Kristine P Pultorak received its 1306814298 assignment from the Centers for Medicare & Medicaid Services on 2006-03-08.
When was the information pertaining to Kristine P Pultorak most recently updated or revised?
The details related to Kristine P Pultorak, including its address, specialty, and other relevant information, were last updated or revised on 2022-11-17.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY