Ryschell Renee Bolton in Peoria - Emergency Medicine
Ryschell Renee Bolton - NPI 1689873234
Ryschell Renee Bolton is a Emergency Medicine in Peoria, Illinois. Ryschell Renee Bolton practices all healthcare services and medical treatments related to Emergency Medicine. The NPI Number for Ryschell Renee Bolton is 1689873234. The last update date is 2013-04-24.
Ryschell Renee Bolton's current location address is 11217 N Oakwood Dr, Peoria, Illinois. You can contact this provider via phone number 8176895523. The mailing address for Ryschell Renee Bolton is 11217 N Oakwood Dr, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ryschell Renee Bolton |
|---|---|
| Address | 11217 N Oakwood Dr, Peoria, Illinois |
| Phone Number | 8176895523 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1689873234 |
|---|---|
| Provider Enumeration Date | 2007-07-13 |
| Last Updated Date | 2013-04-24 |
Provider Mailing Address Detail
| Address | 11217 N Oakwood Dr |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 616151038 |
| Phone Number | 8176895523 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Emergency Medicine |
|---|---|
| Taxonomy | 207P00000X |
| Licence No | 125.052729 |
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Definition: An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency |
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What is the unique identifier code issued to Ryschell Renee Bolton by the Centers for Medicare & Medicaid Services (CMS)?
The Ryschell Renee Bolton has been assigned the NPI (National Provider Identifier) 1689873234. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Ryschell Renee Bolton's physical address?
The Ryschell Renee Bolton is physically located at 11217 N Oakwood Dr, in the city of Peoria, IL, with the postal code 616151038.
What is Ryschell Renee Bolton's area of expertise and its corresponding taxonomy classification?
The Ryschell Renee Bolton's field of specialization is Emergency Medicine, and it falls under the taxonomy code 207P00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Ryschell Renee Bolton receive the assignment of its 1689873234 from the Centers for Medicare & Medicaid Services?
The Ryschell Renee Bolton was issued its 1689873234 by the Centers for Medicare & Medicaid Services on 2007-07-13.
When was the information related to Ryschell Renee Bolton most recently updated or refreshed?
The details pertaining to the Ryschell Renee Bolton, including its address, specialty, and other relevant information, were last updated or refreshed on 2013-04-24.
NPI Number: 1912900226
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