Jeffrey R. Canham is a Urology in Decatur, Illinois. Jeffrey R. Canham practices all healthcare services and medical treatments related to Urology. The NPI Number for Jeffrey R. Canham is 1770582983. The last update date is 2014-08-20.
Jeffrey R. Canham's current location address is 302 W Hay St, Decatur, Illinois. You can contact this provider via phone number 2178778925 and fax number 2178770020. The mailing address for Jeffrey R. Canham is 302 W Hay St, Decatur, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffrey R. Canham |
|---|---|
| Address | 302 W Hay St, Decatur, Illinois |
| Phone Number | 2178778925 |
| Fax Number | 2178770020 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1770582983 |
|---|---|
| Provider Enumeration Date | 2005-07-19 |
| Last Updated Date | 2014-08-20 |
Provider Mailing Address Detail
| Address | 302 W Hay St |
|---|---|
| City | Decatur |
| State | Illinois (IL) |
| Post Code | 625264167 |
| Phone Number | 2178778925 |
| Fax Number | 2178770020 |
Provider's Primary Taxonomy Detail
| Speciality | Urology |
|---|---|
| Taxonomy | 208800000X |
| Licence No | 036-060206 |
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Definition: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquir |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36060206 | IL | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Jeffrey R. Canham by the Centers for Medicare & Medicaid Services?
The Jeffrey R. Canham has been assigned the NPI (National Provider Identifier) 1770582983 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where Jeffrey R. Canham is geographically located?
The Jeffrey R. Canham is physically situated at the following location: 302 W Hay St, Decatur, IL, 625264167.
What is the Jeffrey R. Canham's specialty and taxonomy code?
The Jeffrey R. Canham's specialty is Urology, and the corresponding taxonomy code is 208800000X.
On what date was the 1770582983 assigned to Jeffrey R. Canham?
The Jeffrey R. Canham was issued its 1770582983 on 2005-07-19, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Jeffrey R. Canham, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jeffrey R. Canham, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2014-08-20.