Walter Frizzell Fletcher in Waterloo - Family Medicine
Walter Frizzell Fletcher - NPI 1043200280
Walter Frizzell Fletcher is a Family Medicine in Waterloo, Illinois. Walter Frizzell Fletcher practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Walter Frizzell Fletcher is 1043200280. The last update date is 2019-09-17.
Walter Frizzell Fletcher's current location address is 424 W 4th St, Waterloo, Illinois. You can contact this provider via phone number 8777487030 and fax number 8772649140. The mailing address for Walter Frizzell Fletcher is 424 W 4th St, Waterloo, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Walter Frizzell Fletcher |
|---|---|
| Address | 424 W 4th St, Waterloo, Illinois |
| Phone Number | 8777487030 |
| Fax Number | 8772649140 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1043200280 |
|---|---|
| Provider Enumeration Date | 2005-10-27 |
| Last Updated Date | 2019-09-17 |
Provider Mailing Address Detail
| Address | 424 W 4th St |
|---|---|
| City | Waterloo |
| State | Illinois (IL) |
| Post Code | 622981378 |
| Phone Number | 8777487030 |
| Fax Number | 8772649140 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 25879 |
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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 |
|---|---|---|---|
| P00034971 | TN | RAILROAD MEDICARE | |
| 30848602 | TN | MEDICARE | |
| 4173958 | TN | BLUE CROSS AND BLUE SHIELD | |
| JT1036 | TN | CIGNA | |
| 30848602 | TN | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Walter Frizzell Fletcher by the Centers for Medicare & Medicaid Services?
The Walter Frizzell Fletcher has been assigned the NPI (National Provider Identifier) 1043200280. 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 provide the complete street address where Walter Frizzell Fletcher is physically located?
The Walter Frizzell Fletcher is physically situated at the following address: 424 W 4Th St, Waterloo, IL, 622981378.
What is Walter Frizzell Fletcher's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Walter Frizzell Fletcher is Family Medicine, and the corresponding taxonomy classification code for this specialized field is 207Q00000X.
On what date did the Walter Frizzell Fletcher receive the assignment of its 1043200280 from the Centers for Medicare & Medicaid Services?
The Walter Frizzell Fletcher was issued its 1043200280 by the Centers for Medicare & Medicaid Services on 2005-10-27.
When was the information pertaining to Walter Frizzell Fletcher most recently updated or revised?
The details related to Walter Frizzell Fletcher, including its address, specialty, and other relevant information, were last updated or revised on 2019-09-17.