Linda A Mansfield in South Bend - Family Medicine

Linda A Mansfield - NPI 1629075957

Linda A Mansfield is a Family Medicine in South Bend, Indiana. Linda A Mansfield practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Linda A Mansfield is 1629075957. The last update date is 2023-04-28.

Linda A Mansfield's current location address is 111 W Jefferson Blvd Ste 100, South Bend, Indiana. You can contact this provider via phone number 5746471669 and fax number 5742396461. The mailing address for Linda A Mansfield is 111 W Jefferson Blvd Ste 100, South Bend, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Linda A Mansfield
Address 111 W Jefferson Blvd Ste 100, South Bend, Indiana
Phone Number 5746471669
Fax Number 5742396461
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1629075957
Provider Enumeration Date 2005-07-01
Last Updated Date 2023-04-28

Provider Mailing Address Detail

Address 111 W Jefferson Blvd Ste 100
City South Bend
State Indiana (IN)
Post Code 4660119930
Phone Number 5746471669
Fax Number 5742396461

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 01069249A
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
713021 IN BCBS BMG SPORTS MEDICINE
P00955365 IN RR MEDICARE
201020040 IN --

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FAQs about Linda A Mansfield

What is the Linda A Mansfield's unique identification number?

The Linda A Mansfield has been assigned the NPI (National Provider Identifier) Number 1629075957 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you share the physical location details of Linda A Mansfield?

The Linda A Mansfield is situated at 111 W Jefferson Blvd Ste 100, in the city of South Bend, state of IN, with the zip code 4660119930.

What is Linda A Mansfield's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Linda A Mansfield is Family Medicine, and the taxonomy code that categorizes this field of expertise is 207Q00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1629075957 to Linda A Mansfield?

The Centers for Medicare & Medicaid Services assigned the 1629075957 to Linda A Mansfield on 2005-07-01.

As of what date were the details pertaining to Linda A Mansfield last refreshed?

The information related to the Linda A Mansfield, including its address, specialty, and other relevant details, was last updated on 2023-04-28.

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