Elbert A Fasnacht Ii Md Ltd in Carbondale - Internal Medicine
Elbert A Fasnacht Ii Md Ltd - NPI 1962582700
Elbert A Fasnacht Ii Md Ltd is a Internal Medicine in Carbondale, Illinois. Elbert A Fasnacht Ii Md Ltd practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Elbert A Fasnacht Ii Md Ltd is 1962582700. The last update date is 2009-09-10.
Elbert A Fasnacht Ii Md Ltd's current location address is 721 South Lewis Lane, Carbondale, Illinois. You can contact this provider via phone number 6184574999 and fax number 6184575099. The mailing address for Elbert A Fasnacht Ii Md Ltd is 721 South Lewis Lane, Carbondale, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Elbert A Fasnacht Ii Md Ltd |
|---|---|
| Address | 721 South Lewis Lane, Carbondale, Illinois |
| Phone Number | 6184574999 |
| Fax Number | 6184575099 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Fasnacht Alvin Elbert |
| Credentials | MD |
| Telephone Number | 6184574999 |
NPI Number Detail
| NPI Number | 1962582700 |
|---|---|
| Provider Enumeration Date | 2006-10-16 |
| Last Updated Date | 2009-09-10 |
Provider Mailing Address Detail
| Address | 721 South Lewis Lane |
|---|---|
| City | Carbondale |
| State | Illinois (IL) |
| Post Code | 629013344 |
| Phone Number | 6184574999 |
| Fax Number | 6184575099 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 36075250 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36075250 | IL | -- | |
| DP1138 | IL | RAILROAD MEDICARE | |
| 27366 | IL | HEALTH ALLIANCE | |
| 137121 | IL | HEALTHLINK |
Post Comment/ Review Below
What is the Elbert A Fasnacht Ii Md Ltd's 1962582700?
The Elbert A Fasnacht Ii Md Ltd's NPI (National Provider Identifier) Number is 1962582700. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Elbert A Fasnacht Ii Md Ltd is physically located?
The Elbert A Fasnacht Ii Md Ltd is situated at the following address: 721 South Lewis Lane, Carbondale, IL 629013344.
What is Elbert A Fasnacht Ii Md Ltd's specialized field of practice, and what is the corresponding taxonomy classification code?
The Elbert A Fasnacht Ii Md Ltd's area of specialization is Internal Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207R00000X.
When did Elbert A Fasnacht Ii Md Ltd receive its 1962582700 assignment?
The Elbert A Fasnacht Ii Md Ltd was assigned its 1962582700 on 2006-10-16, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Elbert A Fasnacht Ii Md Ltd most recently updated or revised?
The information pertaining to Elbert A Fasnacht Ii Md Ltd, including its address, specialty, and other relevant details, was last updated or revised on 2009-09-10.