Cristy A Elving-Dial in Jerseyville - Family Medicine

Cristy A Elving-Dial - NPI 1922056506

Cristy A Elving-Dial is a Family Medicine in Jerseyville, Illinois. Cristy A Elving-Dial practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Cristy A Elving-Dial is 1922056506. The last update date is 2021-04-08.

Cristy A Elving-Dial's current location address is 390 Maple Summit Rd, Jerseyville, Illinois. You can contact this provider via phone number 6184987518 and fax number 6184983052. The mailing address for Cristy A Elving-Dial is 390 Maple Summit Rd, Jerseyville, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Cristy A Elving-Dial
Address 390 Maple Summit Rd, Jerseyville, Illinois
Phone Number 6184987518
Fax Number 6184983052
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1922056506
Provider Enumeration Date 2006-05-05
Last Updated Date 2021-04-08

Provider Mailing Address Detail

Address 390 Maple Summit Rd
City Jerseyville
State Illinois (IL)
Post Code 62052
Phone Number 6184987518
Fax Number 6184983052

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 36105358
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
36105358 IL --
P00174372 IL MEDICARE RAILROAD

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FAQs about Cristy A Elving-Dial

What is the unique identifier code issued to Cristy A Elving-Dial by the Centers for Medicare & Medicaid Services (CMS)?

The Cristy A Elving-Dial has been assigned the NPI (National Provider Identifier) 1922056506. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Where is the Cristy A Elving-Dial located?

The Cristy A Elving-Dial is located at 390 Maple Summit Rd, Jerseyville, IL 62052.

What is Cristy A Elving-Dial's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Cristy A Elving-Dial is Family Medicine, and the taxonomy code that classifies this field of practice is 207Q00000X.

On what date did Cristy A Elving-Dial receive its 1922056506 assignment from the Centers for Medicare & Medicaid Services?

The Cristy A Elving-Dial was assigned its 1922056506 on 2006-05-05, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Cristy A Elving-Dial most recently updated or revised?

The details related to Cristy A Elving-Dial, including its address, specialty, and other relevant information, were last updated or revised on 2021-04-08.

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