Constance Erickson-Loucks in South Bend - Clinical
Constance Erickson-Loucks - NPI 1912996844
Constance Erickson-Loucks is a Clinical in South Bend, Indiana. Constance Erickson-Loucks practices all healthcare services and medical treatments related to Clinical. The NPI Number for Constance Erickson-Loucks is 1912996844. The last update date is 2023-06-23.
Constance Erickson-Loucks's current location address is 105 E Jefferson Blvd, South Bend, Indiana. You can contact this provider via phone number 5742322255 and fax number 5742879377. The mailing address for Constance Erickson-Loucks is 105 E Jefferson Blvd, South Bend, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Constance Erickson-Loucks |
|---|---|
| Address | 105 E Jefferson Blvd, South Bend, Indiana |
| Phone Number | 5742322255 |
| Fax Number | 5742879377 |
| Sole Proprietor | Y |
| Credentials | LMFT |
NPI Number Detail
| NPI Number | 1912996844 |
|---|---|
| Provider Enumeration Date | 2005-10-13 |
| Last Updated Date | 2023-06-23 |
Provider Mailing Address Detail
| Address | 105 E Jefferson Blvd |
|---|---|
| City | South Bend |
| State | Indiana (IN) |
| Post Code | 466011922 |
| Phone Number | 5742322255 |
| Fax Number | 5742879377 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 39000308A |
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What is the unique 10-digit identifier code issued to Constance Erickson-Loucks by the Centers for Medicare & Medicaid Services?
The Constance Erickson-Loucks has been assigned the NPI (National Provider Identifier) 1912996844 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Constance Erickson-Loucks's physical address?
The Constance Erickson-Loucks is physically located at 105 E Jefferson Blvd, in the city of South Bend, IN, with the postal code 466011922.
What is the Constance Erickson-Loucks's specialty and taxonomy code?
The Constance Erickson-Loucks's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1912996844 to Constance Erickson-Loucks?
The Constance Erickson-Loucks received its 1912996844 assignment from the Centers for Medicare & Medicaid Services on 2005-10-13.
When was the information regarding Constance Erickson-Loucks most recently updated?
The details pertaining to the Constance Erickson-Loucks, including its address, specialty, and other relevant information, were last refreshed on 2023-06-23.