Elbert Stinson Tillerson in Jefferson City - Psychiatry
Elbert Stinson Tillerson - NPI 1003872714
Elbert Stinson Tillerson is a Psychiatry in Jefferson City, Missouri. Elbert Stinson Tillerson practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Elbert Stinson Tillerson is 1003872714. The last update date is 2013-01-15.
Elbert Stinson Tillerson's current location address is 1125 Madison St., Jefferson City, Missouri. You can contact this provider via phone number 5736357651 and fax number 5736594515. The mailing address for Elbert Stinson Tillerson is 1125 Madison St., Jefferson City, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Elbert Stinson Tillerson |
|---|---|
| Address | 1125 Madison St., Jefferson City, Missouri |
| Phone Number | 5736357651 |
| Fax Number | 5736594515 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1003872714 |
|---|---|
| Provider Enumeration Date | 2006-04-21 |
| Last Updated Date | 2013-01-15 |
Provider Mailing Address Detail
| Address | 1125 Madison St. |
|---|---|
| City | Jefferson City |
| State | Missouri (MO) |
| Post Code | 651021128 |
| Phone Number | 5736357651 |
| Fax Number | 5736594515 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | 2011041481 |
|
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 |
|---|---|---|---|
| 54133 | GA | LICENSE | |
| 23919 | SC | 1 | |
| 1003872714 | MO | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Elbert Stinson Tillerson?
The Elbert Stinson Tillerson has been issued the NPI (National Provider Identifier) 1003872714 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Elbert Stinson Tillerson is located?
The Elbert Stinson Tillerson is situated at the following address: 1125 Madison St., Jefferson City, MO, 651021128.
What is Elbert Stinson Tillerson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Elbert Stinson Tillerson's specialized field of practice is Psychiatry, and the corresponding taxonomy code that categorizes this area of specialization is 2084P0800X.
On what date did Elbert Stinson Tillerson receive its 1003872714 assignment from the Centers for Medicare & Medicaid Services?
The Elbert Stinson Tillerson was assigned its 1003872714 on 2006-04-21, 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 Elbert Stinson Tillerson's details last updated?
The information pertaining to the Elbert Stinson Tillerson, including its address, specialty, and other details, was most recently updated on 2013-01-15.
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