Lisa Ingrum in Charleston - Developmental Therapist
Lisa Ingrum - NPI 1457472375
Lisa Ingrum is a Developmental Therapist in Charleston, Illinois. Lisa Ingrum practices all healthcare services and medical treatments related to Developmental Therapist. The NPI Number for Lisa Ingrum is 1457472375. The last update date is 2007-07-08.
Lisa Ingrum's current location address is 1530 Lincoln Ave, Charleston, Illinois. You can contact this provider via phone number 2173480127 and fax number 2173480740. The mailing address for Lisa Ingrum is 1530 Lincoln Ave, Charleston, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa Ingrum |
|---|---|
| Address | 1530 Lincoln Ave, Charleston, Illinois |
| Phone Number | 2173480127 |
| Fax Number | 2173480740 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1457472375 |
|---|---|
| Provider Enumeration Date | 2007-04-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1530 Lincoln Ave |
|---|---|
| City | Charleston |
| State | Illinois (IL) |
| Post Code | 619203057 |
| Phone Number | 2173480127 |
| Fax Number | 2173480740 |
Provider's Primary Taxonomy Detail
| Speciality | Developmental Therapist |
|---|---|
| Taxonomy | 222Q00000X |
|
Definition: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education |
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Post Comment/ Review Below
What is the unique identification code assigned to Lisa Ingrum by the Centers for Medicare & Medicaid Services?
The Lisa Ingrum has been issued the NPI (National Provider Identifier) 1457472375. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Lisa Ingrum is physically located?
The Lisa Ingrum is situated at the following address: 1530 Lincoln Ave, Charleston, IL 619203057.
What is Lisa Ingrum's specialized field of practice, and what is the corresponding taxonomy classification code?
The Lisa Ingrum's area of specialization is Developmental Therapist, and the corresponding taxonomy code that categorizes this field of practice is 222Q00000X.
On what date did Lisa Ingrum receive its 1457472375 assignment from the Centers for Medicare & Medicaid Services?
The Lisa Ingrum was assigned its 1457472375 on 2007-04-02, 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 details pertaining to Lisa Ingrum last refreshed?
The information related to the Lisa Ingrum, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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