Jill R Ferdelman in Springboro - Pediatrics

Jill R Ferdelman - NPI 1811042963

Jill R Ferdelman is a Pediatrics in Springboro, Ohio. Jill R Ferdelman practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Jill R Ferdelman is 1811042963. The last update date is 2021-10-21.

Jill R Ferdelman's current location address is 662 N Main St, Springboro, Ohio. You can contact this provider via phone number 9376415066 and fax number 9375509797. The mailing address for Jill R Ferdelman is 662 N Main St, Springboro, Ohio. To know further, please read the information below!

Provider Profile Detail

Provider Name Jill R Ferdelman
Address 662 N Main St, Springboro, Ohio
Phone Number 9376415066
Fax Number 9375509797
Sole Proprietor N
Credentials PNP

NPI Number Detail

NPI Number 1811042963
Provider Enumeration Date 2007-01-25
Last Updated Date 2021-10-21

Provider Mailing Address Detail

Address 662 N Main St
City Springboro
State Ohio (OH)
Post Code 450669553
Phone Number 9376415066
Fax Number 9375509797

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 363Lp0200X
Licence No APRN.CNP.002
Definition:
An advanced practice registered nurse expert in providing care to infants, children and adolescents.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2156698 OH --

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FAQs about Jill R Ferdelman

What is the unique 10-digit identifier code assigned to Jill R Ferdelman by the Centers for Medicare & Medicaid Services?

The Jill R Ferdelman has been issued the NPI (National Provider Identifier) 1811042963 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Jill R Ferdelman is physically located?

The Jill R Ferdelman is physically situated at the following address: 662 N Main St, Springboro, OH, 450669553.

What is the Jill R Ferdelman's area of specialization and corresponding taxonomy classification?

The Jill R Ferdelman's specialty field is Pediatrics, and it falls under the taxonomy code 363Lp0200X, which categorizes healthcare providers based on their specialties.

On what date did Jill R Ferdelman receive its 1811042963 assignment from the Centers for Medicare & Medicaid Services?

The Jill R Ferdelman was assigned its 1811042963 on 2007-01-25, 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 related to Jill R Ferdelman most recently updated or revised?

The information pertaining to Jill R Ferdelman, including its address, specialty, and other relevant details, was last updated or revised on 2021-10-21.

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