Jesse V Poblete in O Fallon - Diagnostic Radiology
Jesse V Poblete - NPI 1881669893
Jesse V Poblete is a Diagnostic Radiology in O Fallon, Illinois. Jesse V Poblete practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Jesse V Poblete is 1881669893. The last update date is 2008-07-11.
Jesse V Poblete's current location address is 1105 Colony Ct, O Fallon, Illinois. You can contact this provider via phone number 6186248502. The mailing address for Jesse V Poblete is 1105 Colony Ct, O Fallon, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jesse V Poblete |
|---|---|
| Address | 1105 Colony Ct, O Fallon, Illinois |
| Phone Number | 6186248502 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1881669893 |
|---|---|
| Provider Enumeration Date | 2006-02-22 |
| Last Updated Date | 2008-07-11 |
Provider Mailing Address Detail
| Address | 1105 Colony Ct |
|---|---|
| City | O Fallon |
| State | Illinois (IL) |
| Post Code | 622692838 |
| Phone Number | 6186248502 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | 35708 |
|
Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 202663902 | MO | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Jesse V Poblete by the Centers for Medicare & Medicaid Services (CMS)?
The Jesse V Poblete has been assigned the NPI (National Provider Identifier) 1881669893. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Jesse V Poblete?
The Jesse V Poblete is situated at 1105 Colony Ct, in the city of O Fallon, state of IL, with the zip code 622692838.
What is Jesse V Poblete's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jesse V Poblete is Diagnostic Radiology, and the taxonomy code that classifies this field of practice is 2085R0202X.
When did Jesse V Poblete receive its 1881669893 assignment?
The Jesse V Poblete was assigned its 1881669893 on 2006-02-22, which is the date when this unique identifier was issued to the organization.
When was the Jesse V Poblete's information last updated?
The Jesse V Poblete's information was last updated on 2008-07-11.