Susan Marie Moore-Riesbeck in Granger - Family Medicine
Susan Marie Moore-Riesbeck - NPI 1215090378
Susan Marie Moore-Riesbeck is a Family Medicine in Granger, Indiana. Susan Marie Moore-Riesbeck practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Susan Marie Moore-Riesbeck is 1215090378. The last update date is 2020-10-30.
Susan Marie Moore-Riesbeck's current location address is Po Box 175, Granger, Indiana. You can contact this provider via phone number 5742738053 and fax number 5742738056. The mailing address for Susan Marie Moore-Riesbeck is Po Box 175, Granger, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Marie Moore-Riesbeck |
|---|---|
| Address | Po Box 175, Granger, Indiana |
| Phone Number | 5742738053 |
| Fax Number | 5742738056 |
| Sole Proprietor | Y |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1215090378 |
|---|---|
| Provider Enumeration Date | 2006-12-19 |
| Last Updated Date | 2020-10-30 |
Provider Mailing Address Detail
| Address | Po Box 175 |
|---|---|
| City | Granger |
| State | Indiana (IN) |
| Post Code | 465300175 |
| Phone Number | 5742738053 |
| Fax Number | 5742738056 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 02001290A |
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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 |
|---|---|---|---|
| 100366000 | IN | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Susan Marie Moore-Riesbeck by the Centers for Medicare & Medicaid Services?
The Susan Marie Moore-Riesbeck has been assigned the NPI (National Provider Identifier) 1215090378. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Susan Marie Moore-Riesbeck is physically located?
The Susan Marie Moore-Riesbeck is physically situated at the following address: Po Box 175, Granger, IN, 465300175.
What is Susan Marie Moore-Riesbeck's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Susan Marie Moore-Riesbeck is Family Medicine, and the corresponding taxonomy classification code for this specialized field is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1215090378 to Susan Marie Moore-Riesbeck?
The Susan Marie Moore-Riesbeck received its 1215090378 assignment from the Centers for Medicare & Medicaid Services on 2006-12-19.
When was the information regarding Susan Marie Moore-Riesbeck, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Susan Marie Moore-Riesbeck, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-10-30.