Mark A Buettner is a Orthopedic in Peoria, Illinois. Mark A Buettner practices all healthcare services and medical treatments related to Orthopedic. The NPI Number for Mark A Buettner is 1538136015. The last update date is 2023-12-02.
Mark A Buettner's current location address is 5401 N Knoxville Ave, Peoria, Illinois. You can contact this provider via phone number 3096898888 and fax number 3096898410. The mailing address for Mark A Buettner is 5401 N Knoxville Ave, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark A Buettner |
|---|---|
| Address | 5401 N Knoxville Ave, Peoria, Illinois |
| Phone Number | 3096898888 |
| Fax Number | 3096898410 |
| Sole Proprietor | Y |
| Credentials | PT, DC |
NPI Number Detail
| NPI Number | 1538136015 |
|---|---|
| Provider Enumeration Date | 2006-03-03 |
| Last Updated Date | 2023-12-02 |
Provider Mailing Address Detail
| Address | 5401 N Knoxville Ave |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 616145098 |
| Phone Number | 3096898888 |
| Fax Number | 3096898410 |
Provider's Primary Taxonomy Detail
| Speciality | Orthopedic |
|---|---|
| Taxonomy | 2251X0800X |
| Licence No | 70018472 |
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Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pat |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 38009649 | IL | -- | |
| 7232014 | IL | BLUE CROSS |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Mark A Buettner by the Centers for Medicare & Medicaid Services?
The Mark A Buettner has been issued the NPI (National Provider Identifier) 1538136015 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Mark A Buettner?
The Mark A Buettner is situated at 5401 N Knoxville Ave, in the city of Peoria, state of IL, with the zip code 616145098.
What is the Mark A Buettner's specialty and taxonomy code?
The Mark A Buettner's specialty is Orthopedic, and the corresponding taxonomy code is 2251X0800X.
On what date was the 1538136015 assigned to Mark A Buettner?
The Mark A Buettner was issued its 1538136015 on 2006-03-03, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Mark A Buettner's details last updated?
The information pertaining to the Mark A Buettner, including its address, specialty, and other details, was most recently updated on 2023-12-02.
NPI Number: 1932102142
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