Karsten B Slater
Family Doctor - Sports Medicine
1527 College Dr
Mount Carmel
, Illinois 62863
Karsten B Slater
Family Doctor - Sports Medicine
1527 College Dr
Mount Carmel
, Illinois 62863
(618) 263-6291
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About
Features
Specialties
- Family Doctor - Sports Medicine
Languages spoken
- English
Location
First Address
- Karsten B Slater
- 1527 College Dr
- Mount Carmel, IL
- Zip : 62863-2615
- Fax : (618) 263-6291
- Phone : (618) 263-6400
Second Address
- Karsten B Slater
- 1527 College Dr
- Mount Carmel, IL
- Zip : 62863
- Fax : (618) 263-6291
- Phone : (618) 263-6400
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QS0010X | Family Doctor - Sports Medicine | 036128488 | IL |
National Provider Identifier
| NPI | 1144495961 |
|---|---|
| Provider Name | Karsten B Slater |
| First Address | Mount Carmel, IL 62863-2615 |
| Second Address | Mount Carmel, IL 62863 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/04/2008 |
| Last Update Date | 22/02/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.