Lisa Jean Burckhartzmeyer in Peoria - Student In An Organized Health Care Education/training Program
Lisa Jean Burckhartzmeyer - NPI 1962674820
Lisa Jean Burckhartzmeyer is a Student In An Organized Health Care Education/training Program in Peoria, Illinois. Lisa Jean Burckhartzmeyer practices all healthcare services and medical treatments related to Student In An Organized Health Care Education/training Program. The NPI Number for Lisa Jean Burckhartzmeyer is 1962674820. The last update date is 2016-02-05.
Lisa Jean Burckhartzmeyer's current location address is 2214 N University St, Peoria, Illinois. You can contact this provider via phone number 3096807634 and fax number 3096765506. The mailing address for Lisa Jean Burckhartzmeyer is 2214 N University St, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | Lisa Jean Burckhartzmeyer |
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Address | 2214 N University St, Peoria, Illinois |
Phone Number | 3096807634 |
Fax Number | 3096765506 |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1962674820 |
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Provider Enumeration Date | 2008-03-31 |
Last Updated Date | 2016-02-05 |
Provider Mailing Address Detail
Address | 2214 N University St |
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City | Peoria |
State | Illinois (IL) |
Post Code | 61604 |
Phone Number | 3096807634 |
Fax Number | 3096765506 |
Provider's Primary Taxonomy Detail
Speciality | Student In An Organized Health Care Education/training Program |
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Taxonomy | 390200000X |
Definition: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
36129370 | IL | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Lisa Jean Burckhartzmeyer by the Centers for Medicare & Medicaid Services?
The Lisa Jean Burckhartzmeyer has been assigned the NPI (National Provider Identifier) 1962674820 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Lisa Jean Burckhartzmeyer's physical address?
The Lisa Jean Burckhartzmeyer is physically located at 2214 N University St, in the city of Peoria, IL, with the postal code 61604.
What is Lisa Jean Burckhartzmeyer's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Lisa Jean Burckhartzmeyer is Student In An Organized Health Care Education/training Program, and the taxonomy classification code that categorizes this area of expertise is 390200000X.
On what date did the Lisa Jean Burckhartzmeyer receive the assignment of its 1962674820 from the Centers for Medicare & Medicaid Services?
The Lisa Jean Burckhartzmeyer was issued its 1962674820 by the Centers for Medicare & Medicaid Services on 2008-03-31.
As of what date were the details related to Lisa Jean Burckhartzmeyer most recently updated or revised?
The information pertaining to Lisa Jean Burckhartzmeyer, including its address, specialty, and other relevant details, was last updated or revised on 2016-02-05.
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