Patrick J Gannon in Belleville - Psychiatry

Patrick J Gannon - NPI 1578512406

Patrick J Gannon is a Psychiatry in Belleville, Illinois. Patrick J Gannon practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Patrick J Gannon is 1578512406. The last update date is 2007-07-08.

Patrick J Gannon's current location address is 531 Pebble Brook Ln, Belleville, Illinois. You can contact this provider via phone number 6187795508 and fax number 6182068588. The mailing address for Patrick J Gannon is 531 Pebble Brook Ln, Belleville, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Patrick J Gannon
Address 531 Pebble Brook Ln, Belleville, Illinois
Phone Number 6187795508
Fax Number 6182068588
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1578512406
Provider Enumeration Date 2006-05-08
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 531 Pebble Brook Ln
City Belleville
State Illinois (IL)
Post Code 622217609
Phone Number 6187795508
Fax Number 6182068588

Provider's Primary Taxonomy Detail

Speciality Psychiatry
Taxonomy 2084P0800X
Licence No 33100
Definition:
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment

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FAQs about Patrick J Gannon

What is the unique identifier code issued to Patrick J Gannon by the Centers for Medicare & Medicaid Services?

The Patrick J Gannon has been assigned the NPI (National Provider Identifier) 1578512406. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Patrick J Gannon?

The Patrick J Gannon is situated at 531 Pebble Brook Ln, in the city of Belleville, state of IL, with the zip code 622217609.

What is Patrick J Gannon's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Patrick J Gannon is Psychiatry, and the taxonomy code that categorizes this field of expertise is 2084P0800X.

On what date did Patrick J Gannon receive its 1578512406 assignment from the Centers for Medicare & Medicaid Services?

The Patrick J Gannon was assigned its 1578512406 on 2006-05-08, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Patrick J Gannon last refreshed?

The information related to the Patrick J Gannon, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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