Jonathan Daniel Colen in Jacksonville - Psychiatry
Jonathan Daniel Colen - NPI 1336168012
Jonathan Daniel Colen is a Psychiatry in Jacksonville, Illinois. Jonathan Daniel Colen practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Jonathan Daniel Colen is 1336168012. The last update date is 2018-11-02.
Jonathan Daniel Colen's current location address is 1600 W Walnut St Fl 3, Jacksonville, Illinois. You can contact this provider via phone number 2175458000 and fax number 2174795737. The mailing address for Jonathan Daniel Colen is 1600 W Walnut St Fl 3, Jacksonville, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jonathan Daniel Colen |
|---|---|
| Address | 1600 W Walnut St Fl 3, Jacksonville, Illinois |
| Phone Number | 2175458000 |
| Fax Number | 2174795737 |
| Sole Proprietor | N |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1336168012 |
|---|---|
| Provider Enumeration Date | 2006-07-19 |
| Last Updated Date | 2018-11-02 |
Provider Mailing Address Detail
| Address | 1600 W Walnut St Fl 3 |
|---|---|
| City | Jacksonville |
| State | Illinois (IL) |
| Post Code | 626501136 |
| Phone Number | 2175458000 |
| Fax Number | 2174795737 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | 036-110038 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36110038 | IL | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Jonathan Daniel Colen by the Centers for Medicare & Medicaid Services?
The Jonathan Daniel Colen has been assigned the NPI (National Provider Identifier) 1336168012 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Jonathan Daniel Colen's facilities are situated?
The facilities of Jonathan Daniel Colen are physically located at the following address: 1600 W Walnut St Fl 3, Jacksonville, IL, 626501136.
What is the Jonathan Daniel Colen's specialty and taxonomy code?
The Jonathan Daniel Colen's specialty is Psychiatry, and the corresponding taxonomy code is 2084P0800X.
When did Jonathan Daniel Colen receive its 1336168012 assignment?
The Jonathan Daniel Colen was assigned its 1336168012 on 2006-07-19, which is the date when this unique identifier was issued to the organization.
As of what date was the information pertaining to Jonathan Daniel Colen, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Jonathan Daniel Colen, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2018-11-02.
NPI Number: 1205828894
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