Allen G Gerberding in Jacksonville - Family Medicine
Allen G Gerberding - NPI 1558333633
Allen G Gerberding is a Family Medicine in Jacksonville, Illinois. Allen G Gerberding practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Allen G Gerberding is 1558333633. The last update date is 2011-06-13.
Allen G Gerberding's current location address is 1515 W Walnut St, Jacksonville, Illinois. You can contact this provider via phone number 2172436454 and fax number 2172431388. The mailing address for Allen G Gerberding is 1515 W Walnut St, Jacksonville, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Allen G Gerberding |
|---|---|
| Address | 1515 W Walnut St, Jacksonville, Illinois |
| Phone Number | 2172436454 |
| Fax Number | 2172431388 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1558333633 |
|---|---|
| Provider Enumeration Date | 2006-02-03 |
| Last Updated Date | 2011-06-13 |
Provider Mailing Address Detail
| Address | 1515 W Walnut St |
|---|---|
| City | Jacksonville |
| State | Illinois (IL) |
| Post Code | 626501157 |
| Phone Number | 2172436454 |
| Fax Number | 2172431388 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 36057587 |
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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 |
|---|---|---|---|
| 36057587 | IL | -- | |
| 6900103 | IL | BCBS |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Allen G Gerberding by the Centers for Medicare & Medicaid Services?
The Allen G Gerberding has been issued the NPI (National Provider Identifier) 1558333633 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Allen G Gerberding is located?
The Allen G Gerberding is situated at the following address: 1515 W Walnut St, Jacksonville, IL, 626501157.
Could you kindly provide the complete physical address where Allen G Gerberding's facilities are geographically located?
The facilities of Allen G Gerberding are physically situated at the following location: 1515 W Walnut St, Jacksonville, IL, 626501157.
On what date did the Centers for Medicare & Medicaid Services assign the 1558333633 to Allen G Gerberding?
The Centers for Medicare & Medicaid Services assigned the 1558333633 to Allen G Gerberding on 2006-02-03.
As of what date was the information regarding Allen G Gerberding, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Allen G Gerberding, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2011-06-13.
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