Elbert A Fasnacht in Carbondale - Internal Medicine
Elbert A Fasnacht - NPI 1790834828
Elbert A Fasnacht is a Internal Medicine in Carbondale, Illinois. Elbert A Fasnacht practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Elbert A Fasnacht is 1790834828. The last update date is 2009-09-10.
Elbert A Fasnacht's current location address is 721 S Lewis Ln, Carbondale, Illinois. You can contact this provider via phone number 6184574999 and fax number 6184575099. The mailing address for Elbert A Fasnacht is 721 S Lewis Ln, Carbondale, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | Elbert A Fasnacht |
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Address | 721 S Lewis Ln, Carbondale, Illinois |
Phone Number | 6184574999 |
Fax Number | 6184575099 |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1790834828 |
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Provider Enumeration Date | 2007-01-09 |
Last Updated Date | 2009-09-10 |
Provider Mailing Address Detail
Address | 721 S Lewis Ln |
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City | Carbondale |
State | Illinois (IL) |
Post Code | 629013344 |
Phone Number | 6184574999 |
Fax Number | 6184575099 |
Provider's Primary Taxonomy Detail
Speciality | Internal Medicine |
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Taxonomy | 207R00000X |
Licence No | 36075250 |
Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
110019903 | IL | RAILROAD MEDICARE | |
36075250 | IL | LICENSE |
Post Comment/ Review Below
What is the unique provider identifier assigned to Elbert A Fasnacht?
The Elbert A Fasnacht has been issued the NPI (National Provider Identifier) 1790834828 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Elbert A Fasnacht?
The Elbert A Fasnacht is situated at 721 S Lewis Ln, in the city of Carbondale, state of IL, with the zip code 629013344.
What is Elbert A Fasnacht's specialized field of practice, and what is the corresponding taxonomy classification code?
The Elbert A Fasnacht's area of specialization is Internal Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207R00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1790834828 to Elbert A Fasnacht?
The Elbert A Fasnacht received its 1790834828 assignment from the Centers for Medicare & Medicaid Services on 2007-01-09.
As of what date were the details related to Elbert A Fasnacht most recently updated or revised?
The information pertaining to Elbert A Fasnacht, including its address, specialty, and other relevant details, was last updated or revised on 2009-09-10.
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