Janet K Tillisch in Fargo - Pediatrics

Janet K Tillisch - NPI 1417988163

Janet K Tillisch is a Pediatrics in Fargo, North Dakota. Janet K Tillisch practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Janet K Tillisch is 1417988163. The last update date is 2011-11-03.

Janet K Tillisch's current location address is Po Box 6001, Fargo, North Dakota. You can contact this provider via phone number 7013643300 and fax number 7013648906. The mailing address for Janet K Tillisch is Po Box 6001, Fargo, North Dakota. To know further, please read the information below!

Provider Profile Detail

Provider Name Janet K Tillisch
Address Po Box 6001, Fargo, North Dakota
Phone Number 7013643300
Fax Number 7013648906
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1417988163
Provider Enumeration Date 2006-07-05
Last Updated Date 2011-11-03

Provider Mailing Address Detail

Address Po Box 6001
City Fargo
State North Dakota (ND)
Post Code 581086001
Phone Number 7013643300
Fax Number 7013648906

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Licence No 4237
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
ND100012 ND LHS #
15795300 ND --
28064TI ND MNBS #
91423TI ND MNBS #
1201177 ND MEDICA #
1203181 ND MEDICA #
142074 ND UCARE #
1877 ND NDBS #
10168 ND --
1201797 ND MEDICA #

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FAQs about Janet K Tillisch

What is the unique 10-digit identification code issued to Janet K Tillisch by the Centers for Medicare & Medicaid Services?

The Janet K Tillisch has been assigned the NPI (National Provider Identifier) 1417988163 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete physical address where Janet K Tillisch is located?

The Janet K Tillisch is situated at the following address: Po Box 6001, Fargo, ND, 581086001.

What is Janet K Tillisch's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Janet K Tillisch is Pediatrics, and the taxonomy code that categorizes this field of expertise is 208000000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1417988163 to Janet K Tillisch?

The Centers for Medicare & Medicaid Services assigned the 1417988163 to Janet K Tillisch on 2006-07-05.

When was the information regarding Janet K Tillisch, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Janet K Tillisch, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2011-11-03.

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