Marci I Moore-Connelley in Carbondale - Family Medicine
Marci I Moore-Connelley - NPI 1851377717
Marci I Moore-Connelley is a Family Medicine in Carbondale, Illinois. Marci I Moore-Connelley practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Marci I Moore-Connelley is 1851377717. The last update date is 2020-12-08.
Marci I Moore-Connelley's current location address is 405 W Jackson St, Carbondale, Illinois. You can contact this provider via phone number 6184575200 and fax number 6183514820. The mailing address for Marci I Moore-Connelley is 405 W Jackson St, Carbondale, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marci I Moore-Connelley |
|---|---|
| Address | 405 W Jackson St, Carbondale, Illinois |
| Phone Number | 6184575200 |
| Fax Number | 6183514820 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1851377717 |
|---|---|
| Provider Enumeration Date | 2005-12-21 |
| Last Updated Date | 2020-12-08 |
Provider Mailing Address Detail
| Address | 405 W Jackson St |
|---|---|
| City | Carbondale |
| State | Illinois (IL) |
| Post Code | 629011462 |
| Phone Number | 6184575200 |
| Fax Number | 6183514820 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 036-104541 |
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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 |
|---|---|---|---|
| 36104541 | IL | -- |
Post Comment/ Review Below
What is the Marci I Moore-Connelley's 1851377717?
The Marci I Moore-Connelley's NPI (National Provider Identifier) Number is 1851377717. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
What is the area of specialization for Marci I Moore-Connelley, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Marci I Moore-Connelley is Family Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Q00000X.
When was the Marci I Moore-Connelley's 1851377717 issued?
The Marci I Moore-Connelley's 1851377717 was issued on 2005-12-21.
On what date did the Centers for Medicare & Medicaid Services issue the 1851377717 to Marci I Moore-Connelley?
The Marci I Moore-Connelley received its 1851377717 assignment from the Centers for Medicare & Medicaid Services on 2005-12-21.
When was the information pertaining to Marci I Moore-Connelley most recently updated or revised?
The details related to Marci I Moore-Connelley, including its address, specialty, and other relevant information, were last updated or revised on 2020-12-08.