Nichole Mirocha in Springfield - Family Medicine
Nichole Mirocha - NPI 1457573388
Nichole Mirocha is a Family Medicine in Springfield, Illinois. Nichole Mirocha practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Nichole Mirocha is 1457573388. The last update date is 2007-10-16.
Nichole Mirocha's current location address is 520 N 4th St, Springfield, Illinois. You can contact this provider via phone number 2177578100 and fax number 2177471351. The mailing address for Nichole Mirocha is 520 N 4th St, Springfield, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Nichole Mirocha |
|---|---|
| Address | 520 N 4th St, Springfield, Illinois |
| Phone Number | 2177578100 |
| Fax Number | 2177471351 |
| Sole Proprietor | N |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1457573388 |
|---|---|
| Provider Enumeration Date | 2007-05-02 |
| Last Updated Date | 2007-10-16 |
Provider Mailing Address Detail
| Address | 520 N 4th St |
|---|---|
| City | Springfield |
| State | Illinois (IL) |
| Post Code | 627025238 |
| Phone Number | 2177578100 |
| Fax Number | 2177471351 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
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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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Post Comment/ Review Below
What is the unique identifier code issued to Nichole Mirocha by the Centers for Medicare & Medicaid Services?
The Nichole Mirocha has been assigned the NPI (National Provider Identifier) 1457573388. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Nichole Mirocha is geographically located?
The Nichole Mirocha is physically situated at the following location: 520 N 4Th St, Springfield, IL, 627025238.
What is the Nichole Mirocha's area of specialization and corresponding taxonomy classification?
The Nichole Mirocha'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 the Nichole Mirocha receive the assignment of its 1457573388 from the Centers for Medicare & Medicaid Services?
The Nichole Mirocha was issued its 1457573388 by the Centers for Medicare & Medicaid Services on 2007-05-02.
When was the Nichole Mirocha's information last updated?
The Nichole Mirocha's information was last updated on 2007-10-16.