Jennifer D Gutshall in Dixon - Medical

Jennifer D Gutshall - NPI 1073524328

Jennifer D Gutshall is a Medical in Dixon, Illinois. Jennifer D Gutshall practices all healthcare services and medical treatments related to Medical. The NPI Number for Jennifer D Gutshall is 1073524328. The last update date is 2011-01-27.

Jennifer D Gutshall's current location address is 215 E 1st St Ste 215, Dixon, Illinois. You can contact this provider via phone number 8152855422 and fax number 8152855426. The mailing address for Jennifer D Gutshall is 215 E 1st St Ste 215, Dixon, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Jennifer D Gutshall
Address 215 E 1st St Ste 215, Dixon, Illinois
Phone Number 8152855422
Fax Number 8152855426
Sole Proprietor N
Credentials P.A.

NPI Number Detail

NPI Number 1073524328
Provider Enumeration Date 2006-08-11
Last Updated Date 2011-01-27

Provider Mailing Address Detail

Address 215 E 1st St Ste 215
City Dixon
State Illinois (IL)
Post Code 610213166
Phone Number 8152855422
Fax Number 8152855426

Provider's Primary Taxonomy Detail

Speciality Medical
Taxonomy 363Am0700X
Licence No 85002531
Definition:
A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
85002531 IL LICENSE

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FAQs about Jennifer D Gutshall

What is the unique identifier code issued to Jennifer D Gutshall by the Centers for Medicare & Medicaid Services?

The Jennifer D Gutshall has been assigned the NPI (National Provider Identifier) 1073524328. 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 share the complete physical address where Jennifer D Gutshall is geographically located?

The Jennifer D Gutshall is physically situated at the following location: 215 E 1St St Ste 215, Dixon, IL, 610213166.

What is Jennifer D Gutshall's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Jennifer D Gutshall's specialized field of practice is Medical, and the corresponding taxonomy code that categorizes this area of specialization is 363Am0700X.

On what date did the Centers for Medicare & Medicaid Services assign the 1073524328 to Jennifer D Gutshall?

The Centers for Medicare & Medicaid Services assigned the 1073524328 to Jennifer D Gutshall on 2006-08-11.

When was the information regarding Jennifer D Gutshall, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Jennifer D Gutshall, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2011-01-27.

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