Jordan Lee Dutter in Lafayette - Family Medicine
Jordan Lee Dutter - NPI 1730157835
Jordan Lee Dutter is a Family Medicine in Lafayette, Indiana. Jordan Lee Dutter practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Jordan Lee Dutter is 1730157835. The last update date is 2021-03-22.
Jordan Lee Dutter's current location address is Po Box 4699, Lafayette, Indiana. You can contact this provider via phone number 7654492732 and fax number 7654491196. The mailing address for Jordan Lee Dutter is Po Box 4699, Lafayette, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jordan Lee Dutter |
|---|---|
| Address | Po Box 4699, Lafayette, Indiana |
| Phone Number | 7654492732 |
| Fax Number | 7654491196 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1730157835 |
|---|---|
| Provider Enumeration Date | 2006-03-14 |
| Last Updated Date | 2021-03-22 |
Provider Mailing Address Detail
| Address | Po Box 4699 |
|---|---|
| City | Lafayette |
| State | Indiana (IN) |
| Post Code | 479034699 |
| Phone Number | 7654492732 |
| Fax Number | 7654491196 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 01056529A |
|
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 |
|---|---|---|---|
| 11319868 | IN | CAQH NUMBER | |
| 200399760 | IN | -- | |
| 9397025 | IN | PHCS PID NUMBER |
Post Comment/ Review Below
What is the Jordan Lee Dutter's 1730157835?
The Jordan Lee Dutter's NPI (National Provider Identifier) Number is 1730157835. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Jordan Lee Dutter located?
The Jordan Lee Dutter is located at Po Box 4699, Lafayette, IN 479034699.
What is Jordan Lee Dutter's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jordan Lee Dutter's area of specialization is Family Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Q00000X.
On what date did the Jordan Lee Dutter receive its 1730157835 assignment from the Centers for Medicare & Medicaid Services?
The Jordan Lee Dutter was assigned its 1730157835 by the Centers for Medicare & Medicaid Services on 2006-03-14.
As of what date were the details pertaining to Jordan Lee Dutter last refreshed?
The information related to the Jordan Lee Dutter, including its address, specialty, and other relevant details, was last updated on 2021-03-22.
NPI Number: 1821080284
Address: 1301 E Debbie Ln, Mansfield, TX