Beth Collister in Fond Du Lac - Family Medicine

Beth Collister - NPI 1427049063

Beth Collister is a Family Medicine in Fond Du Lac, Wisconsin. Beth Collister practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Beth Collister is 1427049063. The last update date is 2020-11-10.

Beth Collister's current location address is 420 E Division St, Fond Du Lac, Wisconsin. You can contact this provider via phone number 9209268340 and fax number 9209268370. The mailing address for Beth Collister is 420 E Division St, Fond Du Lac, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Beth Collister
Address 420 E Division St, Fond Du Lac, Wisconsin
Phone Number 9209268340
Fax Number 9209268370
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1427049063
Provider Enumeration Date 2005-11-02
Last Updated Date 2020-11-10

Provider Mailing Address Detail

Address 420 E Division St
City Fond Du Lac
State Wisconsin (WI)
Post Code 549354560
Phone Number 9209268340
Fax Number 9209268370

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 33156
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
31826800 WI --
80076572 WI RAILROAD MEDICARE

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FAQs about Beth Collister

What is the unique 10-digit identifier code issued to Beth Collister by the Centers for Medicare & Medicaid Services?

The Beth Collister has been assigned the NPI (National Provider Identifier) 1427049063 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical address where Beth Collister is geographically located?

The Beth Collister is physically situated at the following location: 420 E Division St, Fond Du Lac, WI, 549354560.

What is Beth Collister's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Beth Collister is Family Medicine, and the taxonomy code that categorizes this field of expertise is 207Q00000X.

When did Beth Collister receive its 1427049063 assignment?

The Beth Collister was assigned its 1427049063 on 2005-11-02, which is the date when this unique identifier was issued to the organization.

As of what date were the Beth Collister's details last updated?

The information pertaining to the Beth Collister, including its address, specialty, and other details, was most recently updated on 2020-11-10.

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