Jennifer Anne Loethen in Maryville - Pediatrics
Jennifer Anne Loethen - NPI 1205039955
Jennifer Anne Loethen is a Pediatrics in Maryville, Illinois. Jennifer Anne Loethen practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Jennifer Anne Loethen is 1205039955. The last update date is 2010-06-22.
Jennifer Anne Loethen's current location address is 5 Professional Park Dr, Maryville, Illinois. You can contact this provider via phone number 6188762924. The mailing address for Jennifer Anne Loethen is 5 Professional Park Dr, Maryville, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer Anne Loethen |
|---|---|
| Address | 5 Professional Park Dr, Maryville, Illinois |
| Phone Number | 6188762924 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1205039955 |
|---|---|
| Provider Enumeration Date | 2007-06-08 |
| Last Updated Date | 2010-06-22 |
Provider Mailing Address Detail
| Address | 5 Professional Park Dr |
|---|---|
| City | Maryville |
| State | Illinois (IL) |
| Post Code | 620625621 |
| Phone Number | 6188762924 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | 36121965 |
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Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36121965 | IL | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Jennifer Anne Loethen by the Centers for Medicare & Medicaid Services?
The Jennifer Anne Loethen has been assigned the NPI (National Provider Identifier) 1205039955. 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 share the complete physical location address where Jennifer Anne Loethen's facilities are situated?
The facilities of Jennifer Anne Loethen are physically located at the following address: 5 Professional Park Dr, Maryville, IL, 620625621.
What is the Jennifer Anne Loethen's specialty and taxonomy code?
The Jennifer Anne Loethen's specialty is Pediatrics, and the corresponding taxonomy code is 208000000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1205039955 to Jennifer Anne Loethen?
The Centers for Medicare & Medicaid Services assigned the 1205039955 to Jennifer Anne Loethen on 2007-06-08.
When was the information regarding Jennifer Anne Loethen, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Jennifer Anne Loethen, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2010-06-22.
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