Jefferson Qualls in Bargersville - Family Medicine

Jefferson Qualls - NPI 1992882419

Jefferson Qualls is a Family Medicine in Bargersville, Indiana. Jefferson Qualls practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Jefferson Qualls is 1992882419. The last update date is 2022-03-10.

Jefferson Qualls's current location address is 4207 N 500 W, Bargersville, Indiana. You can contact this provider via phone number 3176951241. The mailing address for Jefferson Qualls is 4207 N 500 W, Bargersville, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Jefferson Qualls
Address 4207 N 500 W, Bargersville, Indiana
Phone Number 3176951241
Fax Number
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1992882419
Provider Enumeration Date 2006-11-01
Last Updated Date 2022-03-10

Provider Mailing Address Detail

Address 4207 N 500 W
City Bargersville
State Indiana (IN)
Post Code 461069251
Phone Number 3176951241
Fax Number

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 1037759
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
100194060 IN --

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FAQs about Jefferson Qualls

What is the unique identifier code issued to Jefferson Qualls by the Centers for Medicare & Medicaid Services (CMS)?

The Jefferson Qualls has been assigned the NPI (National Provider Identifier) 1992882419. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you kindly provide the complete physical address where Jefferson Qualls's facilities are geographically located?

The facilities of Jefferson Qualls are physically situated at the following location: 4207 N 500 W, Bargersville, IN, 461069251.

What is the Jefferson Qualls's specialty and taxonomy code?

The Jefferson Qualls's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.

On what date did the Jefferson Qualls receive the assignment of its 1992882419 from the Centers for Medicare & Medicaid Services?

The Jefferson Qualls was issued its 1992882419 by the Centers for Medicare & Medicaid Services on 2006-11-01.

When was the information regarding Jefferson Qualls, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Jefferson Qualls, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2022-03-10.

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