Jack David Kunberger in Fort Wayne - Family Medicine
Jack David Kunberger - NPI 1821298985
Jack David Kunberger is a Family Medicine in Fort Wayne, Indiana. Jack David Kunberger practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Jack David Kunberger is 1821298985. The last update date is 2023-03-06.
Jack David Kunberger's current location address is 5110 N Clinton St, Fort Wayne, Indiana. You can contact this provider via phone number 2604696605 and fax number 2609693066. The mailing address for Jack David Kunberger is 5110 N Clinton St, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack David Kunberger |
|---|---|
| Address | 5110 N Clinton St, Fort Wayne, Indiana |
| Phone Number | 2604696605 |
| Fax Number | 2609693066 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1821298985 |
|---|---|
| Provider Enumeration Date | 2007-07-18 |
| Last Updated Date | 2023-03-06 |
Provider Mailing Address Detail
| Address | 5110 N Clinton St |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 468255720 |
| Phone Number | 2604696605 |
| Fax Number | 2609693066 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 01068425A |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 666601 | IN | ANTHEM | |
| 200986220 | IN | -- | |
| 666587 | IN | ANTHEM |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Jack David Kunberger by the Centers for Medicare & Medicaid Services?
The Jack David Kunberger has been assigned the NPI (National Provider Identifier) 1821298985 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Jack David Kunberger is physically located?
The Jack David Kunberger is situated at the following address: 5110 N Clinton St, Fort Wayne, IN 468255720.
What is Jack David Kunberger's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jack David Kunberger is Family Medicine, and the taxonomy code that categorizes this field of expertise is 207Q00000X.
On what date did the Jack David Kunberger receive the assignment of its 1821298985 from the Centers for Medicare & Medicaid Services?
The Jack David Kunberger was issued its 1821298985 by the Centers for Medicare & Medicaid Services on 2007-07-18.
When was the Jack David Kunberger's information last updated?
The Jack David Kunberger's information was last updated on 2023-03-06.
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