David J Nyquist in Belleville - Family Medicine
David J Nyquist - NPI 1114966611
David J Nyquist is a Family Medicine in Belleville, Illinois. David J Nyquist practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for David J Nyquist is 1114966611. The last update date is 2021-02-23.
David J Nyquist's current location address is 4500 Memorial Dr, Belleville, Illinois. You can contact this provider via phone number 6182576220 and fax number 6182576679. The mailing address for David J Nyquist is 4500 Memorial Dr, Belleville, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | David J Nyquist |
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Address | 4500 Memorial Dr, Belleville, Illinois |
Phone Number | 6182576220 |
Fax Number | 6182576679 |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1114966611 |
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Provider Enumeration Date | 2006-06-06 |
Last Updated Date | 2021-02-23 |
Provider Mailing Address Detail
Address | 4500 Memorial Dr |
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City | Belleville |
State | Illinois (IL) |
Post Code | 62226 |
Phone Number | 6182576220 |
Fax Number | 6182576679 |
Provider's Primary Taxonomy Detail
Speciality | Family Medicine |
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Taxonomy | 207Q00000X |
Licence No | 36076188 |
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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
187771 | HEALTH LINK | ||
104775 | UNITED HEALTH CARE UHC | ||
80174497 | RAILROAD MEDICARE | ||
36076188 | IL | -- | |
133289 | CMR A DIVISION OF GHP | ||
6015346 | IL | BLUE CROSS BLUE SHIELD OF | |
4080250 | AETNA | ||
133289 | GROUP HEALTH PLAN GHP |
Post Comment/ Review Below
What is the David J Nyquist's unique identification number?
The David J Nyquist has been assigned the NPI (National Provider Identifier) Number 1114966611 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of David J Nyquist?
The David J Nyquist is situated at 4500 Memorial Dr, in the city of Belleville, state of IL, with the zip code 62226.
What is the David J Nyquist's area of specialization and corresponding taxonomy classification?
The David J Nyquist's specialty field is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their specialties.
On what date did David J Nyquist receive its 1114966611 assignment from the Centers for Medicare & Medicaid Services?
The David J Nyquist was assigned its 1114966611 on 2006-06-06, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to David J Nyquist most recently updated or revised?
The information pertaining to David J Nyquist, including its address, specialty, and other relevant details, was last updated or revised on 2021-02-23.