William H Shackelford Md in Cerro Gordo - Family Medicine
William H Shackelford Md - NPI 1326034232
William H Shackelford Md is a Family Medicine in Cerro Gordo, 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 1326034232. The last update date is 2020-08-22.
William H Shackelford Md's current location address is Po Box 20, Cerro Gordo, Illinois. You can contact this provider via phone number 2177635851 and fax number 2177632201. The mailing address for William H Shackelford Md is Po Box 20, Cerro Gordo, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Organization | William H Shackelford Md |
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Address | Po Box 20, Cerro Gordo, Illinois |
Phone Number | 2177635851 |
Fax Number | 2177632201 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | OWNER |
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Authorized Official Name | Shackelford H William |
Credentials | MD |
Telephone Number | 2177635851 |
NPI Number Detail
NPI Number | 1326034232 |
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Provider Enumeration Date | 2005-09-26 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | Po Box 20 |
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City | Cerro Gordo |
State | Illinois (IL) |
Post Code | 618180020 |
Phone Number | 2177635851 |
Fax Number | 2177632201 |
Provider's Primary Taxonomy Detail
Speciality | Family Medicine |
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Taxonomy | 207Q00000X |
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 |
---|---|---|---|
7423084 | IL | BLUE SHIELD | |
036034153-2 | IL | -- |
Post Comment/ Review Below
What is the unique 10-digit identification 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) 1326034232 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of William H Shackelford Md?
The William H Shackelford Md is situated at Po Box 20, in the city of Cerro Gordo, state of IL, with the zip code 618180020.
What is William H Shackelford Md's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for William H Shackelford Md is Family Medicine, and the taxonomy code that categorizes this field of expertise is 207Q00000X.
On what date did the William H Shackelford Md receive the assignment of its 1326034232 from the Centers for Medicare & Medicaid Services?
The William H Shackelford Md was issued its 1326034232 by the Centers for Medicare & Medicaid Services on 2005-09-26.
As of what date were the details pertaining to William H Shackelford Md last refreshed?
The information related to the William H Shackelford Md, including its address, specialty, and other relevant details, was last updated on 2020-08-22.