Mary Van Kooten in Bloomington - Adult Medicine
Mary Van Kooten - NPI 1619972601
Mary Van Kooten is a Adult Medicine in Bloomington, Indiana. Mary Van Kooten practices all healthcare services and medical treatments related to Adult Medicine. The NPI Number for Mary Van Kooten is 1619972601. The last update date is 2023-09-09.
Mary Van Kooten's current location address is 550 S Landmark Ave, Bloomington, Indiana. You can contact this provider via phone number 8123556900 and fax number 8123335978. The mailing address for Mary Van Kooten is 550 S Landmark Ave, Bloomington, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Van Kooten |
|---|---|
| Address | 550 S Landmark Ave, Bloomington, Indiana |
| Phone Number | 8123556900 |
| Fax Number | 8123335978 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1619972601 |
|---|---|
| Provider Enumeration Date | 2005-06-16 |
| Last Updated Date | 2023-09-09 |
Provider Mailing Address Detail
| Address | 550 S Landmark Ave |
|---|---|
| City | Bloomington |
| State | Indiana (IN) |
| Post Code | 4740332390 |
| Phone Number | 8123556900 |
| Fax Number | 8123335978 |
Provider's Primary Taxonomy Detail
| Speciality | Adult Medicine |
|---|---|
| Taxonomy | 207Qa0505X |
| Licence No | 01057928A |
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Definition: The NUCC recommends this code not be used. Choose a more appropriate code. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 90540396 | IN | MEDICARE PTAN | |
| Q00228730 | IN | RAILROAD PTAN | |
| 200452880 | IN | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Mary Van Kooten?
The Mary Van Kooten has been issued the NPI (National Provider Identifier) 1619972601 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Mary Van Kooten is physically located?
The Mary Van Kooten is situated at the following address: 550 S Landmark Ave, Bloomington, IN 4740332390.
What is Mary Van Kooten's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Mary Van Kooten is Adult Medicine, and the taxonomy code that classifies this field of practice is 207Qa0505X.
On what date did the Mary Van Kooten receive its 1619972601 assignment from the Centers for Medicare & Medicaid Services?
The Mary Van Kooten was assigned its 1619972601 by the Centers for Medicare & Medicaid Services on 2005-06-16.
When was the Mary Van Kooten's information last updated?
The Mary Van Kooten's information was last updated on 2023-09-09.
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