Jennifer L. Lackman-Chuppe in South Bend - Emergency Medicine

Jennifer L. Lackman-Chuppe - NPI 1568428019

Jennifer L. Lackman-Chuppe is a Emergency Medicine in South Bend, Indiana. Jennifer L. Lackman-Chuppe practices all healthcare services and medical treatments related to Emergency Medicine. The NPI Number for Jennifer L. Lackman-Chuppe is 1568428019. The last update date is 2018-12-12.

Jennifer L. Lackman-Chuppe's current location address is 615 N Michigan St, South Bend, Indiana. You can contact this provider via phone number 5746477459 and fax number 5746473658. The mailing address for Jennifer L. Lackman-Chuppe is 615 N Michigan St, South Bend, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Jennifer L. Lackman-Chuppe
Address 615 N Michigan St, South Bend, Indiana
Phone Number 5746477459
Fax Number 5746473658
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1568428019
Provider Enumeration Date 2006-04-25
Last Updated Date 2018-12-12

Provider Mailing Address Detail

Address 615 N Michigan St
City South Bend
State Indiana (IN)
Post Code 466011087
Phone Number 5746477459
Fax Number 5746473658

Provider's Primary Taxonomy Detail

Speciality Emergency Medicine
Taxonomy 207P00000X
Licence No 1037290
Definition:
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
930101010 IN RAIL ROAD MEDICARE
181682 IN ANTHEM
104340074 MI --
100091200 IN --

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FAQs about Jennifer L. Lackman-Chuppe

What is the unique 10-digit identification code assigned to Jennifer L. Lackman-Chuppe by the Centers for Medicare & Medicaid Services?

The Jennifer L. Lackman-Chuppe has been issued the NPI (National Provider Identifier) 1568428019, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Jennifer L. Lackman-Chuppe's facilities are geographically located?

The facilities of Jennifer L. Lackman-Chuppe are physically situated at the following location: 615 N Michigan St, South Bend, IN, 466011087.

What is Jennifer L. Lackman-Chuppe's specialized field of practice, and what is the corresponding taxonomy classification code?

The Jennifer L. Lackman-Chuppe's area of specialization is Emergency Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207P00000X.

When was the Jennifer L. Lackman-Chuppe's 1568428019 issued?

The Jennifer L. Lackman-Chuppe's 1568428019 was issued on 2006-04-25.

As of what date were the details pertaining to Jennifer L. Lackman-Chuppe last refreshed?

The information related to the Jennifer L. Lackman-Chuppe, including its address, specialty, and other relevant details, was last updated on 2018-12-12.

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