Bennie N Till in Poplar Bluff - Family Medicine
Bennie N Till - NPI 1235118928
Bennie N Till is a Family Medicine in Poplar Bluff, Missouri. Bennie N Till practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Bennie N Till is 1235118928. The last update date is 2011-09-01.
Bennie N Till's current location address is Po Box 220, Poplar Bluff, Missouri. You can contact this provider via phone number 5736862411 and fax number 5736868452. The mailing address for Bennie N Till is Po Box 220, Poplar Bluff, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bennie N Till |
|---|---|
| Address | Po Box 220, Poplar Bluff, Missouri |
| Phone Number | 5736862411 |
| Fax Number | 5736868452 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1235118928 |
|---|---|
| Provider Enumeration Date | 2006-01-11 |
| Last Updated Date | 2011-09-01 |
Provider Mailing Address Detail
| Address | Po Box 220 |
|---|---|
| City | Poplar Bluff |
| State | Missouri (MO) |
| Post Code | 639020220 |
| Phone Number | 5736862411 |
| Fax Number | 5736868452 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 29706 |
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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 |
|---|---|---|---|
| 80037689 | TRAVELERS MEDICARE | ||
| 200421709 | MO | -- | |
| 108014001 | AR | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Bennie N Till by the Centers for Medicare & Medicaid Services?
The Bennie N Till has been issued the NPI (National Provider Identifier) 1235118928. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Bennie N Till is physically located?
The Bennie N Till is situated at the following address: Po Box 220, Poplar Bluff, MO 639020220.
What is Bennie N Till's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Bennie N Till is Family Medicine, and the corresponding taxonomy classification code for this specialized field is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1235118928 to Bennie N Till?
The Centers for Medicare & Medicaid Services originally issued the 1235118928 to Bennie N Till on 2006-01-11.
When was the information pertaining to Bennie N Till most recently updated or revised?
The details related to Bennie N Till, including its address, specialty, and other relevant information, were last updated or revised on 2011-09-01.