Jean Rosengarte Davidson in South Bend - Clinical
Jean Rosengarte Davidson - NPI 1528049715
Jean Rosengarte Davidson is a Clinical in South Bend, Indiana. Jean Rosengarte Davidson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jean Rosengarte Davidson is 1528049715. The last update date is 2013-02-15.
Jean Rosengarte Davidson's current location address is 616 E. Colfax Avenue, South Bend, Indiana. You can contact this provider via phone number 8126492936 and fax number 8126492936. The mailing address for Jean Rosengarte Davidson is 616 E. Colfax Avenue, South Bend, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jean Rosengarte Davidson |
|---|---|
| Address | 616 E. Colfax Avenue, South Bend, Indiana |
| Phone Number | 8126492936 |
| Fax Number | 8126492936 |
| Sole Proprietor | Y |
| Credentials | LCSW, LMFT |
NPI Number Detail
| NPI Number | 1528049715 |
|---|---|
| Provider Enumeration Date | 2005-11-07 |
| Last Updated Date | 2013-02-15 |
Provider Mailing Address Detail
| Address | 616 E. Colfax Avenue |
|---|---|
| City | South Bend |
| State | Indiana (IN) |
| Post Code | 46617 |
| Phone Number | 8126492936 |
| Fax Number | 8126492936 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 34000496A |
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Post Comment/ Review Below
What is the unique identification code assigned to Jean Rosengarte Davidson by the Centers for Medicare & Medicaid Services?
The Jean Rosengarte Davidson has been issued the NPI (National Provider Identifier) 1528049715. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Jean Rosengarte Davidson is located?
The Jean Rosengarte Davidson is situated at the following address: 616 E. Colfax Avenue, South Bend, IN, 46617.
What is Jean Rosengarte Davidson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jean Rosengarte Davidson is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.
When was the Jean Rosengarte Davidson's 1528049715 issued?
The Jean Rosengarte Davidson's 1528049715 was issued on 2005-11-07.
As of what date was the information regarding Jean Rosengarte Davidson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jean Rosengarte Davidson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2013-02-15.