Fredric C. Kullberg in Rockford - Pulmonary Disease

Fredric C. Kullberg - NPI 1912010273

Fredric C. Kullberg is a Pulmonary Disease in Rockford, Illinois. Fredric C. Kullberg practices all healthcare services and medical treatments related to Pulmonary Disease. The NPI Number for Fredric C. Kullberg is 1912010273. The last update date is 2016-05-04.

Fredric C. Kullberg's current location address is 535 Roxbury Rd, Rockford, Illinois. You can contact this provider via phone number 8153977212 and fax number 8153972539. The mailing address for Fredric C. Kullberg is 535 Roxbury Rd, Rockford, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Fredric C. Kullberg
Address 535 Roxbury Rd, Rockford, Illinois
Phone Number 8153977212
Fax Number 8153972539
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1912010273
Provider Enumeration Date 2006-08-17
Last Updated Date 2016-05-04

Provider Mailing Address Detail

Address 535 Roxbury Rd
City Rockford
State Illinois (IL)
Post Code 611075076
Phone Number 8153977212
Fax Number 8153972539

Provider's Primary Taxonomy Detail

Speciality Pulmonary Disease
Taxonomy 207Rp1001X
Licence No 036 062004
Definition:
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
101 00574 IL BLUE CROSS BLUE SHIELD
036 062004 IL --
290000247 IL RAILROAD MEDICARE

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FAQs about Fredric C. Kullberg

What is the unique identifier code issued to Fredric C. Kullberg by the Centers for Medicare & Medicaid Services?

The Fredric C. Kullberg has been assigned the NPI (National Provider Identifier) 1912010273. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Fredric C. Kullberg's physical address?

The Fredric C. Kullberg is physically located at 535 Roxbury Rd, in the city of Rockford, IL, with the postal code 611075076.

What is Fredric C. Kullberg's specialized field of practice, and what is the corresponding taxonomy classification code?

The Fredric C. Kullberg's area of specialization is Pulmonary Disease, and the corresponding taxonomy code that categorizes this field of practice is 207Rp1001X.

On what date did Fredric C. Kullberg receive its 1912010273 assignment from the Centers for Medicare & Medicaid Services?

The Fredric C. Kullberg was assigned its 1912010273 on 2006-08-17, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Fredric C. Kullberg, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Fredric C. Kullberg, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2016-05-04.

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