Robert Alan Mckissick in Logansport - Family Medicine

Robert Alan Mckissick - NPI 1699771949

Robert Alan Mckissick is a Family Medicine in Logansport, Indiana. Robert Alan Mckissick practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Robert Alan Mckissick is 1699771949. The last update date is 2011-08-03.

Robert Alan Mckissick's current location address is 1201 Michigan Ave, Logansport, Indiana. You can contact this provider via phone number 5747224921 and fax number 5747390520. The mailing address for Robert Alan Mckissick is 1201 Michigan Ave, Logansport, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Robert Alan Mckissick
Address 1201 Michigan Ave, Logansport, Indiana
Phone Number 5747224921
Fax Number 5747390520
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1699771949
Provider Enumeration Date 2005-06-22
Last Updated Date 2011-08-03

Provider Mailing Address Detail

Address 1201 Michigan Ave
City Logansport
State Indiana (IN)
Post Code 4694715800
Phone Number 5747224921
Fax Number 5747390520

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 01051621A
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
200247260 IN --
91515 ANTHEM BLUE CROSS
4388483 AETNA INSURANCE
80151650 RAILROAD MEDICARE

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FAQs about Robert Alan Mckissick

What is the Robert Alan Mckissick's 1699771949?

The Robert Alan Mckissick's NPI (National Provider Identifier) Number is 1699771949. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Robert Alan Mckissick's facilities are situated?

The facilities of Robert Alan Mckissick are physically located at the following address: 1201 Michigan Ave, Logansport, IN, 4694715800.

What is the area of specialization for Robert Alan Mckissick, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Robert Alan Mckissick is Family Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Q00000X.

When did Robert Alan Mckissick receive its 1699771949 assignment?

The Robert Alan Mckissick was assigned its 1699771949 on 2005-06-22, which is the date when this unique identifier was issued to the organization.

When was the information regarding Robert Alan Mckissick most recently updated?

The details pertaining to the Robert Alan Mckissick, including its address, specialty, and other relevant information, were last refreshed on 2011-08-03.

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