Amanda Jane Bleichner, M.D.

Pediatrics Physician · Carbondale, IL

Individual Active NPI

NPI number 1639339419

Practice location

2601 W Main St
Carbondale, IL 62901-1031
Phone
(618) 549-5361
Fax
(618) 351-4878

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NPI record

NPI
1639339419
Entity type
Individual (Type 1)
Enumeration date
June 14, 2008
Last updated
October 20, 2020
Certified
October 20, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatrics Physician Primary 208000000X 036126020 IL

Mailing address

PO Box 3988
Carbondale, IL 62902-3988

About Dr. Bleichner

Amanda Jane Bleichner, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 2601 W Main St, Carbondale, IL 62901-1031. The NPI number 1639339419 was assigned on June 14, 2008 and the record was last updated on October 20, 2020.

Dr. Bleichner lists a license in the registry: #036126020 (IL) for Pediatrics Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Amanda Jane Bleichner, M.D.?

The NPI number is 1639339419.

What is the phone number of Dr. Bleichner?

The phone number listed for the practice location is (618) 549-5361.

Where is Dr. Bleichner located?

2601 W Main St, Carbondale, IL 62901-1031.

What is the taxonomy code for Dr. Bleichner?

The primary taxonomy code is 208000000X – Pediatrics Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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