James Jerome Beagle in Streator - Dentist
James Jerome Beagle - NPI 1255588232
James Jerome Beagle is a Dentist in Streator, Illinois. James Jerome Beagle practices all healthcare services and medical treatments related to Dentist. The NPI Number for James Jerome Beagle is 1255588232. The last update date is 2008-08-21.
James Jerome Beagle's current location address is 318 N Bloomington St, Streator, Illinois. You can contact this provider via phone number 8156723360. The mailing address for James Jerome Beagle is 318 N Bloomington St, Streator, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | James Jerome Beagle |
|---|---|
| Address | 318 N Bloomington St, Streator, Illinois |
| Phone Number | 8156723360 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1255588232 |
|---|---|
| Provider Enumeration Date | 2008-08-21 |
| Last Updated Date | 2008-08-21 |
Provider Mailing Address Detail
| Address | 318 N Bloomington St |
|---|---|
| City | Streator |
| State | Illinois (IL) |
| Post Code | 613642218 |
| Phone Number | 8156723360 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 19021121 |
|
Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique 10-digit identifier code assigned to James Jerome Beagle by the Centers for Medicare & Medicaid Services?
The James Jerome Beagle has been issued the NPI (National Provider Identifier) 1255588232 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of James Jerome Beagle?
The James Jerome Beagle is physically situated at 318 N Bloomington St, in the city of Streator, state of IL, with the postal code 613642218.
What is James Jerome Beagle's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for James Jerome Beagle is Dentist, and the corresponding taxonomy classification code for this specialized field is 122300000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1255588232 to James Jerome Beagle?
The Centers for Medicare & Medicaid Services assigned the 1255588232 to James Jerome Beagle on 2008-08-21.
When was the James Jerome Beagle's information last updated?
The James Jerome Beagle's information was last updated on 2008-08-21.
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