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NANCY J SHORT MD LLC NPI 1588732150


NPI Information

NPI: 1588732150
Provider Name: NANCY J SHORT MD LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
4360 KENNEDY DR
SUITE 1
EAST MOLINE, IL
ZIP 61244
Phone: (309) 792-6090
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NANCY J SHORT MD LLC is a family medicine in East Moline, IL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. NANCY J SHORT MD LLC NPI is 1588732150. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4360 KENNEDY DR
SUITE 1
EAST MOLINE, IL
ZIP 61244-287
Phone: (309) 792-6090
Fax: (309) 792-6097

The provider's authorized official is Nancy J Short .
The authorized official title is Owner and has the following contact phone number (309) 792-6090.

The enumeration date for this NPI number is 12/1/2006 and was last updated on 10/30/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine036103076ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1L95020MEDICARE ID-TYPE UNSPECIFIED
2F39391MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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