Jerry Alvin Dearth in Grabill - Family Medicine
Jerry Alvin Dearth - NPI 1588779375
Jerry Alvin Dearth is a Family Medicine in Grabill, Indiana. Jerry Alvin Dearth practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Jerry Alvin Dearth is 1588779375. The last update date is 2022-10-11.
Jerry Alvin Dearth's current location address is 13410 Main St, Grabill, Indiana. You can contact this provider via phone number 2604222481 and fax number 2609693067. The mailing address for Jerry Alvin Dearth is 13410 Main St, Grabill, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerry Alvin Dearth |
|---|---|
| Address | 13410 Main St, Grabill, Indiana |
| Phone Number | 2604222481 |
| Fax Number | 2609693067 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1588779375 |
|---|---|
| Provider Enumeration Date | 2006-08-20 |
| Last Updated Date | 2022-10-11 |
Provider Mailing Address Detail
| Address | 13410 Main St |
|---|---|
| City | Grabill |
| State | Indiana (IN) |
| Post Code | 467412001 |
| Phone Number | 2604222481 |
| Fax Number | 2609693067 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 01029438A |
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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 |
|---|---|---|---|
| 100055390 | IN | -- | |
| 595570 | IN | ANTHEM | |
| P00698419 | IN | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jerry Alvin Dearth by the Centers for Medicare & Medicaid Services?
The Jerry Alvin Dearth has been issued the NPI (National Provider Identifier) 1588779375 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Jerry Alvin Dearth is physically located?
The Jerry Alvin Dearth is situated at the following address: 13410 Main St, Grabill, IN 467412001.
What is Jerry Alvin Dearth's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jerry Alvin Dearth is Family Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Q00000X.
On what date was the 1588779375 assigned to Jerry Alvin Dearth?
The Jerry Alvin Dearth was issued its 1588779375 on 2006-08-20, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Jerry Alvin Dearth's details last updated?
The information pertaining to the Jerry Alvin Dearth, including its address, specialty, and other details, was most recently updated on 2022-10-11.
NPI Number: 1699778829
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