Ted Sugimoto in Berrien Center - Specialist

Ted Sugimoto - NPI 1578579595

Ted Sugimoto is a Specialist in Berrien Center, Michigan. Ted Sugimoto practices all healthcare services and medical treatments related to Specialist. The NPI Number for Ted Sugimoto is 1578579595. The last update date is 2023-03-07.

Ted Sugimoto's current location address is 6416 Deans Hill Rd, Berrien Center, Michigan. You can contact this provider via phone number 2694717741 and fax number 2694711581. The mailing address for Ted Sugimoto is 6416 Deans Hill Rd, Berrien Center, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Ted Sugimoto
Address 6416 Deans Hill Rd, Berrien Center, Michigan
Phone Number 2694717741
Fax Number 2694711581
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1578579595
Provider Enumeration Date 2006-07-31
Last Updated Date 2023-03-07

Provider Mailing Address Detail

Address 6416 Deans Hill Rd
City Berrien Center
State Michigan (MI)
Post Code 491029750
Phone Number 2694717741
Fax Number 2694711581

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 4301041051
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.

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FAQs about Ted Sugimoto

What is the Ted Sugimoto's unique identification number?

The Ted Sugimoto has been assigned the NPI (National Provider Identifier) Number 1578579595 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Can you provide the Ted Sugimoto's physical address?

The Ted Sugimoto is physically located at 6416 Deans Hill Rd, in the city of Berrien Center, MI, with the postal code 491029750.

What is Ted Sugimoto's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Ted Sugimoto is Specialist, and the corresponding taxonomy classification code for this specialized field is 174400000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1578579595 to Ted Sugimoto?

The Ted Sugimoto received its 1578579595 assignment from the Centers for Medicare & Medicaid Services on 2006-07-31.

As of what date were the details pertaining to Ted Sugimoto last refreshed?

The information related to the Ted Sugimoto, including its address, specialty, and other relevant details, was last updated on 2023-03-07.

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