Jane E Fossum
MD | Pediatrics | Female
Jane E Fossum, MD is a Beloit, Wisconsin based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Jane E Fossum is
1905 Huebbe Pkwy, Beloit, Wisconsin - 53511-1842. She can be contacted on phone at
608-364-2293 and fax number 608-364-2700.
Jane E Fossum is a sole proprietor of her business.
NPI number (Unique professional ID) for Jane E Fossum is
1902814932 which was assigned by NPPES on 04 Aug, 2006 and it was last updated on 21 Aug, 2007.
Jane E Fossum license number is
20990020 for Pediatrics (208000000X) in Wisconsin.
Jane E Fossum is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Jane E Fossum basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Jane E Fossum |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Jane E Fossum address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1905 Huebbe Pkwy
Beloit, WI, 53511-1842
United States |
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| Phone Number : | 608-364-2293 |
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| Fax Number : | 608-364-2700 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1902814932 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 04 Aug, 2006 |
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| Last Updated On : | 21 Aug, 2007 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jane E Fossum are as mentioned. Primary taxonomy code for Jane E Fossum, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 20990020 | WI |
Legacy Identifiers:
Other legacy medical identifiers of Jane E Fossum such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 10637 | Other | | DEAN HEALTH PLAN HMO |
| 30105800 | MEDICAID | WI | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1905 Huebbe Pkwy
Beloit, WI, 53511-1842
United States |
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| Phone Number : | 608-364-2293 |
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| Fax Number : | 608-364-2700 |
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Business Location:
Patients can refer following map for directions to
Jane E Fossum practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.