David John Botkin in South Bend - Clinical
David John Botkin - NPI 1487692620
David John Botkin is a Clinical in South Bend, Indiana. David John Botkin practices all healthcare services and medical treatments related to Clinical. The NPI Number for David John Botkin is 1487692620. The last update date is 2018-01-10.
David John Botkin's current location address is 227 N Dixie Way Ste 240, South Bend, Indiana. You can contact this provider via phone number 5742881333. The mailing address for David John Botkin is 227 N Dixie Way Ste 240, South Bend, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David John Botkin |
|---|---|
| Address | 227 N Dixie Way Ste 240, South Bend, Indiana |
| Phone Number | 5742881333 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1487692620 |
|---|---|
| Provider Enumeration Date | 2006-06-02 |
| Last Updated Date | 2018-01-10 |
Provider Mailing Address Detail
| Address | 227 N Dixie Way Ste 240 |
|---|---|
| City | South Bend |
| State | Indiana (IN) |
| Post Code | 466373300 |
| Phone Number | 5742881333 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 20040017 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 175977 | IN | LOCAL BC/BS ID | |
| 100092140A | IN | -- |
Post Comment/ Review Below
What is the David John Botkin's 1487692620?
The David John Botkin's NPI (National Provider Identifier) Number is 1487692620. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where David John Botkin is located?
The David John Botkin is situated at the following address: 227 N Dixie Way Ste 240, South Bend, IN, 466373300.
What is David John Botkin's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for David John Botkin is Clinical, and the corresponding taxonomy classification code for this specialized field is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1487692620 to David John Botkin?
The Centers for Medicare & Medicaid Services originally issued the 1487692620 to David John Botkin on 2006-06-02.
As of what date was the information regarding David John Botkin, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to David John Botkin, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2018-01-10.