Jon Fredrick Petersen in Decatur - Occupational Medicine
Jon Fredrick Petersen - NPI 1285621516
Jon Fredrick Petersen is a Occupational Medicine in Decatur, Illinois. Jon Fredrick Petersen practices all healthcare services and medical treatments related to Occupational Medicine. The NPI Number for Jon Fredrick Petersen is 1285621516. The last update date is 2016-10-12.
Jon Fredrick Petersen's current location address is 1750 E Lake Shore Dr, Decatur, Illinois. You can contact this provider via phone number 2174641440 and fax number 2174641469. The mailing address for Jon Fredrick Petersen is 1750 E Lake Shore Dr, Decatur, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jon Fredrick Petersen |
|---|---|
| Address | 1750 E Lake Shore Dr, Decatur, Illinois |
| Phone Number | 2174641440 |
| Fax Number | 2174641469 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1285621516 |
|---|---|
| Provider Enumeration Date | 2005-10-03 |
| Last Updated Date | 2016-10-12 |
Provider Mailing Address Detail
| Address | 1750 E Lake Shore Dr |
|---|---|
| City | Decatur |
| State | Illinois (IL) |
| Post Code | 625213803 |
| Phone Number | 2174641440 |
| Fax Number | 2174641469 |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Medicine |
|---|---|
| Taxonomy | 2083X0100X |
| Licence No | 36129728 |
|
Definition: Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this fie |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 250766 | HEALTHLINK |
Post Comment/ Review Below
What is the unique identification code assigned to Jon Fredrick Petersen by the Centers for Medicare & Medicaid Services?
The Jon Fredrick Petersen has been issued the NPI (National Provider Identifier) 1285621516. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Jon Fredrick Petersen's facilities are situated?
The facilities of Jon Fredrick Petersen are physically located at the following address: 1750 E Lake Shore Dr, Decatur, IL, 625213803.
What is Jon Fredrick Petersen's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jon Fredrick Petersen's area of specialization is Occupational Medicine, and the corresponding taxonomy code that categorizes this field of practice is 2083X0100X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1285621516 to Jon Fredrick Petersen?
The Centers for Medicare & Medicaid Services originally issued the 1285621516 to Jon Fredrick Petersen on 2005-10-03.
When was the information regarding Jon Fredrick Petersen most recently updated?
The details pertaining to the Jon Fredrick Petersen, including its address, specialty, and other relevant information, were last refreshed on 2016-10-12.
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