Angela M Prosise is a Medical in Springfield, Illinois. Angela M Prosise practices all healthcare services and medical treatments related to Medical. The NPI Number for Angela M Prosise is 1578647947. The last update date is 2012-03-21.
Angela M Prosise's current location address is Po Box 19420, Springfield, Illinois. You can contact this provider via phone number 2177880706 and fax number 2175252535. The mailing address for Angela M Prosise is Po Box 19420, Springfield, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Angela M Prosise |
|---|---|
| Address | Po Box 19420, Springfield, Illinois |
| Phone Number | 2177880706 |
| Fax Number | 2175252535 |
| Sole Proprietor | N |
| Credentials | P.A. |
NPI Number Detail
| NPI Number | 1578647947 |
|---|---|
| Provider Enumeration Date | 2006-10-24 |
| Last Updated Date | 2012-03-21 |
Provider Mailing Address Detail
| Address | Po Box 19420 |
|---|---|
| City | Springfield |
| State | Illinois (IL) |
| Post Code | 627949420 |
| Phone Number | 2177880706 |
| Fax Number | 2175252535 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 085-002151 |
|
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 |
|---|---|---|---|
| P00092459 | IL | RAILROAD |
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What is the unique 10-digit identification code issued to Angela M Prosise by the Centers for Medicare & Medicaid Services?
The Angela M Prosise has been assigned the NPI (National Provider Identifier) 1578647947 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Angela M Prosise is physically located?
The Angela M Prosise is physically situated at the following address: Po Box 19420, Springfield, IL, 627949420.
What is Angela M Prosise's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Angela M Prosise is Medical, and the taxonomy code that categorizes this field of expertise is 363Am0700X.
On what date did the Angela M Prosise receive the assignment of its 1578647947 from the Centers for Medicare & Medicaid Services?
The Angela M Prosise was issued its 1578647947 by the Centers for Medicare & Medicaid Services on 2006-10-24.
As of what date were the details pertaining to Angela M Prosise last refreshed?
The information related to the Angela M Prosise, including its address, specialty, and other relevant details, was last updated on 2012-03-21.
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