Richard N Shatz Md | |
1135 Broadway St Quincy IL 62301-2809 | |
(217) 228-1312 | |
(217) 228-1316 |
Full Name | Richard N Shatz Md |
---|---|
Speciality | Clinic/center |
Location | 1135 Broadway St, Quincy, Illinois |
Authorized Official Name and Position | Richard Nelson Shatz (OWNER) |
Authorized Official Contact | 2172281312 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Richard N Shatz Md 1135 Broadway St Quincy IL 62301-2809 Ph: (217) 228-1312 | Richard N Shatz Md 1135 Broadway St Quincy IL 62301-2809 Ph: (217) 228-1312 |
NPI Number | 1871766717 |
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Provider Enumeration Date | 04/11/2008 |
Last Update Date | 04/11/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871766717 | NPI | - | NPPES |
200001410 | Medicaid | MO | |
36107867 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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