William T. Correll in Plymouth - Family Medicine
William T. Correll - NPI 1154371581
William T. Correll is a Family Medicine in Plymouth, Indiana. William T. Correll practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for William T. Correll is 1154371581. The last update date is 2023-11-14.
William T. Correll's current location address is 1919 Lake Ave Ste 102, Plymouth, Indiana. You can contact this provider via phone number 5743355220 and fax number 5743350859. The mailing address for William T. Correll is 1919 Lake Ave Ste 102, Plymouth, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | William T. Correll |
|---|---|
| Address | 1919 Lake Ave Ste 102, Plymouth, Indiana |
| Phone Number | 5743355220 |
| Fax Number | 5743350859 |
| Sole Proprietor | N |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1154371581 |
|---|---|
| Provider Enumeration Date | 2006-05-10 |
| Last Updated Date | 2023-11-14 |
Provider Mailing Address Detail
| Address | 1919 Lake Ave Ste 102 |
|---|---|
| City | Plymouth |
| State | Indiana (IN) |
| Post Code | 465637830 |
| Phone Number | 5743355220 |
| Fax Number | 5743350859 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 5101014163 |
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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 |
|---|---|---|---|
| 4849166 | MI | -- | |
| 4963714 | MI | -- | |
| 1022851 | MI | MHP HAN GROUP | |
| 300082849 | IN | -- | |
| 4849184 | MI | -- | |
| 080D410020 | MI | BDBSM COM BLUE | |
| 1022813 | MI | MHP HAN INDIVIDUAL | |
| 4849193 | MI | -- |
Post Comment/ Review Below
What is the William T. Correll's unique identification number?
The William T. Correll has been assigned the NPI (National Provider Identifier) Number 1154371581 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of William T. Correll?
The William T. Correll is physically situated at 1919 Lake Ave Ste 102, in the city of Plymouth, state of IN, with the postal code 465637830.
What is the William T. Correll's specialty and taxonomy code?
The William T. Correll's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.
On what date did the William T. Correll receive its 1154371581 assignment from the Centers for Medicare & Medicaid Services?
The William T. Correll was assigned its 1154371581 by the Centers for Medicare & Medicaid Services on 2006-05-10.
When was the information pertaining to William T. Correll most recently updated or revised?
The details related to William T. Correll, including its address, specialty, and other relevant information, were last updated or revised on 2023-11-14.