Alan J Deckard in Springfield - Internal Medicine
Alan J Deckard - NPI 1104801190
Alan J Deckard is a Internal Medicine in Springfield, Illinois. Alan J Deckard practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Alan J Deckard is 1104801190. The last update date is 2009-06-22.
Alan J Deckard's current location address is Po Box 19636, Springfield, Illinois. You can contact this provider via phone number 2175450182 and fax number 2175454735. The mailing address for Alan J Deckard is Po Box 19636, Springfield, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Alan J Deckard |
|---|---|
| Address | Po Box 19636, Springfield, Illinois |
| Phone Number | 2175450182 |
| Fax Number | 2175454735 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1104801190 |
|---|---|
| Provider Enumeration Date | 2005-12-13 |
| Last Updated Date | 2009-06-22 |
Provider Mailing Address Detail
| Address | Po Box 19636 |
|---|---|
| City | Springfield |
| State | Illinois (IL) |
| Post Code | 627949636 |
| Phone Number | 2175450182 |
| Fax Number | 2175454735 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 036-083428 |
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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 |
|---|---|---|---|
| 36083428 | IL | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Alan J Deckard by the Centers for Medicare & Medicaid Services?
The Alan J Deckard has been assigned the NPI (National Provider Identifier) 1104801190 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Alan J Deckard's physical address?
The Alan J Deckard is physically located at Po Box 19636, in the city of Springfield, IL, with the postal code 627949636.
What is Alan J Deckard's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Alan J Deckard is Internal Medicine, and the corresponding taxonomy classification code for this specialized field is 207R00000X.
On what date did the Alan J Deckard receive its 1104801190 assignment from the Centers for Medicare & Medicaid Services?
The Alan J Deckard was assigned its 1104801190 by the Centers for Medicare & Medicaid Services on 2005-12-13.
As of what date were the details related to Alan J Deckard most recently updated or revised?
The information pertaining to Alan J Deckard, including its address, specialty, and other relevant details, was last updated or revised on 2009-06-22.