Patricia A Deters in Peoria - Emergency Medical Services
Patricia A Deters - NPI 1972539575
Patricia A Deters is a Emergency Medical Services in Peoria, Illinois. Patricia A Deters practices all healthcare services and medical treatments related to Emergency Medical Services. The NPI Number for Patricia A Deters is 1972539575. The last update date is 2019-07-23.
Patricia A Deters's current location address is 2265 W Altorfer Dr, Peoria, Illinois. You can contact this provider via phone number 3096837700 and fax number 3096837752. The mailing address for Patricia A Deters is 2265 W Altorfer Dr, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Patricia A Deters |
|---|---|
| Address | 2265 W Altorfer Dr, Peoria, Illinois |
| Phone Number | 3096837700 |
| Fax Number | 3096837752 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1972539575 |
|---|---|
| Provider Enumeration Date | 2006-06-24 |
| Last Updated Date | 2019-07-23 |
Provider Mailing Address Detail
| Address | 2265 W Altorfer Dr |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 616151807 |
| Phone Number | 3096837700 |
| Fax Number | 3096837752 |
Provider's Primary Taxonomy Detail
| Speciality | Emergency Medical Services |
|---|---|
| Taxonomy | 207Pe0004X |
| Licence No | 36095780 |
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Definition: An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36095780 | IL | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Patricia A Deters by the Centers for Medicare & Medicaid Services?
The Patricia A Deters has been assigned the NPI (National Provider Identifier) 1972539575 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Patricia A Deters's physical address?
The Patricia A Deters is physically located at 2265 W Altorfer Dr, in the city of Peoria, IL, with the postal code 616151807.
What is the area of specialization for Patricia A Deters, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Patricia A Deters is Emergency Medical Services, and the corresponding taxonomy code that categorizes this area of expertise is 207Pe0004X.
On what date did the Patricia A Deters receive the assignment of its 1972539575 from the Centers for Medicare & Medicaid Services?
The Patricia A Deters was issued its 1972539575 by the Centers for Medicare & Medicaid Services on 2006-06-24.
As of what date were the details pertaining to Patricia A Deters last refreshed?
The information related to the Patricia A Deters, including its address, specialty, and other relevant details, was last updated on 2019-07-23.
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