William Edmund Fletchall in Peoria - Emergency Medicine
William Edmund Fletchall - NPI 1285843011
William Edmund Fletchall is a Emergency Medicine in Peoria, Illinois. William Edmund Fletchall practices all healthcare services and medical treatments related to Emergency Medicine. The NPI Number for William Edmund Fletchall is 1285843011. The last update date is 2011-08-17.
William Edmund Fletchall's current location address is 7501 N Villa Lake Dr Unit 9a, Peoria, Illinois. You can contact this provider via phone number 3096915133. The mailing address for William Edmund Fletchall is 7501 N Villa Lake Dr Unit 9a, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | William Edmund Fletchall |
|---|---|
| Address | 7501 N Villa Lake Dr Unit 9a, Peoria, Illinois |
| Phone Number | 3096915133 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1285843011 |
|---|---|
| Provider Enumeration Date | 2007-05-21 |
| Last Updated Date | 2011-08-17 |
Provider Mailing Address Detail
| Address | 7501 N Villa Lake Dr Unit 9a |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 616148280 |
| Phone Number | 3096915133 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Emergency Medicine |
|---|---|
| Taxonomy | 207P00000X |
| Licence No | 125-049796 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 361189564 | IL | -- | |
| P00655422 | IL | RAILROAD MCARE THRU CES | |
| P00936448 | IL | RRMCARE THRU CESIISC (GES) | |
| 36118956 | IL | BCBS |
Post Comment/ Review Below
What is the unique identifier code issued to William Edmund Fletchall by the Centers for Medicare & Medicaid Services?
The William Edmund Fletchall has been assigned the NPI (National Provider Identifier) 1285843011. 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 provide the complete physical location address of William Edmund Fletchall?
The William Edmund Fletchall is physically situated at 7501 N Villa Lake Dr Unit 9A, in the city of Peoria, state of IL, with the postal code 616148280.
What is William Edmund Fletchall's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for William Edmund Fletchall is Emergency Medicine, and the taxonomy code that classifies this field of practice is 207P00000X.
On what date did the William Edmund Fletchall receive the assignment of its 1285843011 from the Centers for Medicare & Medicaid Services?
The William Edmund Fletchall was issued its 1285843011 by the Centers for Medicare & Medicaid Services on 2007-05-21.
As of what date were the details related to William Edmund Fletchall most recently updated or revised?
The information pertaining to William Edmund Fletchall, including its address, specialty, and other relevant details, was last updated or revised on 2011-08-17.
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