William H Shackelford Md in Arthur - Family Medicine
William H Shackelford Md - NPI 1164418067
William H Shackelford Md is a Family Medicine in Arthur, Illinois. William H Shackelford Md practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for William H Shackelford Md is 1164418067. The last update date is 2022-07-21.
William H Shackelford Md's current location address is 525 N Vine St, Arthur, Illinois. You can contact this provider via phone number 2175433628 and fax number 2175432921. The mailing address for William H Shackelford Md is 525 N Vine St, Arthur, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | William H Shackelford Md |
|---|---|
| Address | 525 N Vine St, Arthur, Illinois |
| Phone Number | 2175433628 |
| Fax Number | 2175432921 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Shackelford H William |
| Credentials | MD |
| Telephone Number | 2175433628 |
NPI Number Detail
| NPI Number | 1164418067 |
|---|---|
| Provider Enumeration Date | 2005-09-26 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 525 N Vine St |
|---|---|
| City | Arthur |
| State | Illinois (IL) |
| Post Code | 619111137 |
| Phone Number | 2175433628 |
| Fax Number | 2175432921 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7415015 | IL | BLUE SHIELD | |
| 036034153-1 | IL | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to William H Shackelford Md by the Centers for Medicare & Medicaid Services?
The William H Shackelford Md has been assigned the NPI (National Provider Identifier) 1164418067 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where William H Shackelford Md's facilities are situated?
The facilities of William H Shackelford Md are physically located at the following address: 525 N Vine St, Arthur, IL, 619111137.
What is William H Shackelford Md's specialized field of practice, and what is the corresponding taxonomy classification code?
The William H Shackelford Md's area of specialization is Family Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1164418067 to William H Shackelford Md?
The William H Shackelford Md received its 1164418067 assignment from the Centers for Medicare & Medicaid Services on 2005-09-26.
When was the information related to William H Shackelford Md most recently updated or refreshed?
The details pertaining to the William H Shackelford Md, including its address, specialty, and other relevant information, were last updated or refreshed on 2022-07-21.