Jill M. Reisman is a Medical in Lafayette, Indiana. Jill M. Reisman practices all healthcare services and medical treatments related to Medical. The NPI Number for Jill M. Reisman is 1881617538. The last update date is 2023-10-17.
Jill M. Reisman's current location address is 3900 St Francis Way Ste 200, Lafayette, Indiana. You can contact this provider via phone number 7655024000 and fax number 7654024709. The mailing address for Jill M. Reisman is 3900 St Francis Way Ste 200, Lafayette, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jill M. Reisman |
|---|---|
| Address | 3900 St Francis Way Ste 200, Lafayette, Indiana |
| Phone Number | 7655024000 |
| Fax Number | 7654024709 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1881617538 |
|---|---|
| Provider Enumeration Date | 2006-07-25 |
| Last Updated Date | 2023-10-17 |
Provider Mailing Address Detail
| Address | 3900 St Francis Way Ste 200 |
|---|---|
| City | Lafayette |
| State | Indiana (IN) |
| Post Code | 479054940 |
| Phone Number | 7655024000 |
| Fax Number | 7654024709 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 10000734A |
|
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 |
|---|---|---|---|
| 300008925 | IN | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jill M. Reisman by the Centers for Medicare & Medicaid Services?
The Jill M. Reisman has been issued the NPI (National Provider Identifier) 1881617538 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 Jill M. Reisman?
The Jill M. Reisman is situated at 3900 St Francis Way Ste 200, in the city of Lafayette, state of IN, with the zip code 479054940.
What is Jill M. Reisman's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jill M. Reisman is Medical, and the taxonomy code that categorizes this field of expertise is 363Am0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1881617538 to Jill M. Reisman?
The Centers for Medicare & Medicaid Services originally issued the 1881617538 to Jill M. Reisman on 2006-07-25.
As of what date was the information regarding Jill M. Reisman, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jill M. Reisman, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-10-17.