Jennifer Petersen-Goldsp in Bloomington - Cardiovascular Disease
Jennifer Petersen-Goldsp - NPI 1104821974
Jennifer Petersen-Goldsp is a Cardiovascular Disease in Bloomington, Indiana. Jennifer Petersen-Goldsp practices all healthcare services and medical treatments related to Cardiovascular Disease. The NPI Number for Jennifer Petersen-Goldsp is 1104821974. The last update date is 2016-05-17.
Jennifer Petersen-Goldsp's current location address is 1312 W. Arch Haven Avenue, Bloomington, Indiana. You can contact this provider via phone number 8126764144 and fax number 8123398344. The mailing address for Jennifer Petersen-Goldsp is 1312 W. Arch Haven Avenue, Bloomington, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer Petersen-Goldsp |
|---|---|
| Address | 1312 W. Arch Haven Avenue, Bloomington, Indiana |
| Phone Number | 8126764144 |
| Fax Number | 8123398344 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1104821974 |
|---|---|
| Provider Enumeration Date | 2005-06-16 |
| Last Updated Date | 2016-05-17 |
Provider Mailing Address Detail
| Address | 1312 W. Arch Haven Avenue |
|---|---|
| City | Bloomington |
| State | Indiana (IN) |
| Post Code | 474030 |
| Phone Number | 8126764144 |
| Fax Number | 8123398344 |
Provider's Primary Taxonomy Detail
| Speciality | Cardiovascular Disease |
|---|---|
| Taxonomy | 207Rc0000X |
| Licence No | 01059768A |
|
Definition: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200495150 | IN | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Jennifer Petersen-Goldsp by the Centers for Medicare & Medicaid Services?
The Jennifer Petersen-Goldsp has been assigned the NPI (National Provider Identifier) 1104821974. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Jennifer Petersen-Goldsp's facilities are situated?
The facilities of Jennifer Petersen-Goldsp are physically located at the following address: 1312 W. Arch Haven Avenue, Bloomington, IN, 474030.
What is Jennifer Petersen-Goldsp's area of expertise and its corresponding taxonomy classification?
The Jennifer Petersen-Goldsp's field of specialization is Cardiovascular Disease, and it falls under the taxonomy code 207Rc0000X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1104821974 assigned to Jennifer Petersen-Goldsp?
The Jennifer Petersen-Goldsp was issued its 1104821974 on 2005-06-16, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Jennifer Petersen-Goldsp most recently updated or revised?
The details related to Jennifer Petersen-Goldsp, including its address, specialty, and other relevant information, were last updated or revised on 2016-05-17.
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