Jerry E Mitchell is a Surgery in Galesburg, Illinois. Jerry E Mitchell practices all healthcare services and medical treatments related to Surgery. The NPI Number for Jerry E Mitchell is 1679674402. The last update date is 2007-07-08.
Jerry E Mitchell's current location address is 3315 N Seminary St, Galesburg, Illinois. You can contact this provider via phone number 3093441000 and fax number 3093441054. The mailing address for Jerry E Mitchell is 3315 N Seminary St, Galesburg, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerry E Mitchell |
|---|---|
| Address | 3315 N Seminary St, Galesburg, Illinois |
| Phone Number | 3093441000 |
| Fax Number | 3093441054 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1679674402 |
|---|---|
| Provider Enumeration Date | 2006-09-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3315 N Seminary St |
|---|---|
| City | Galesburg |
| State | Illinois (IL) |
| Post Code | 614011251 |
| Phone Number | 3093441000 |
| Fax Number | 3093441054 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
|
Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 10621858 | CAQH | ||
| 4022647 | AETNA | ||
| 364271985-38 | JOHN DEERE | ||
| 4815127 | BC/BS |
Post Comment/ Review Below
What is the unique identifier code issued to Jerry E Mitchell by the Centers for Medicare & Medicaid Services?
The Jerry E Mitchell has been assigned the NPI (National Provider Identifier) 1679674402. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Jerry E Mitchell?
The Jerry E Mitchell is physically situated at 3315 N Seminary St, in the city of Galesburg, state of IL, with the postal code 614011251.
What is Jerry E Mitchell's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jerry E Mitchell is Surgery, and the taxonomy code that classifies this field of practice is 208600000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1679674402 to Jerry E Mitchell?
The Jerry E Mitchell received its 1679674402 assignment from the Centers for Medicare & Medicaid Services on 2006-09-26.
When was the information related to Jerry E Mitchell most recently updated or refreshed?
The details pertaining to the Jerry E Mitchell, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
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