Michiana Physical Medicine in Elkhart - Specialist
Michiana Physical Medicine - NPI 1629270343
Michiana Physical Medicine is a Specialist in Elkhart, Indiana. Michiana Physical Medicine practices all healthcare services and medical treatments related to Specialist. The NPI Number for Michiana Physical Medicine is 1629270343. The last update date is 2008-06-17.
Michiana Physical Medicine's current location address is 1510 Osolo Rd, Elkhart, Indiana. You can contact this provider via phone number 5742647085. The mailing address for Michiana Physical Medicine is 1510 Osolo Rd, Elkhart, Indiana. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Michiana Physical Medicine |
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Address | 1510 Osolo Rd, Elkhart, Indiana |
Phone Number | 5742647085 |
Fax Number | |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | OWNER |
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Authorized Official Name | Szynal K Jean |
Credentials | MD |
Telephone Number | 5742647085 |
NPI Number Detail
NPI Number | 1629270343 |
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Provider Enumeration Date | 2007-06-04 |
Last Updated Date | 2008-06-17 |
Provider Mailing Address Detail
Address | 1510 Osolo Rd |
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City | Elkhart |
State | Indiana (IN) |
Post Code | 465144122 |
Phone Number | 5742647085 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Specialist |
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Taxonomy | 174400000X |
Licence No | 1041839 |
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Michiana Physical Medicine by the Centers for Medicare & Medicaid Services?
The Michiana Physical Medicine has been assigned the NPI (National Provider Identifier) 1629270343 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Michiana Physical Medicine?
The Michiana Physical Medicine is situated at 1510 Osolo Rd, in the city of Elkhart, state of IN, with the zip code 465144122.
What is Michiana Physical Medicine's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Michiana Physical Medicine is Specialist, and the taxonomy code that categorizes this field of expertise is 174400000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1629270343 to Michiana Physical Medicine?
The Centers for Medicare & Medicaid Services originally issued the 1629270343 to Michiana Physical Medicine on 2007-06-04.
As of what date were the details related to Michiana Physical Medicine most recently updated or revised?
The information pertaining to Michiana Physical Medicine, including its address, specialty, and other relevant details, was last updated or revised on 2008-06-17.
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