John Walter Bulger in Mishawaka - Family Medicine

John Walter Bulger - NPI 1821123035

John Walter Bulger is a Family Medicine in Mishawaka, Indiana. John Walter Bulger practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for John Walter Bulger is 1821123035. The last update date is 2010-01-15.

John Walter Bulger's current location address is 303 S Main St, Mishawaka, Indiana. You can contact this provider via phone number 5742558285 and fax number 5742558341. The mailing address for John Walter Bulger is 303 S Main St, Mishawaka, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name John Walter Bulger
Address 303 S Main St, Mishawaka, Indiana
Phone Number 5742558285
Fax Number 5742558341
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1821123035
Provider Enumeration Date 2007-02-21
Last Updated Date 2010-01-15

Provider Mailing Address Detail

Address 303 S Main St
City Mishawaka
State Indiana (IN)
Post Code 465442189
Phone Number 5742558285
Fax Number 5742558341

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 01034598A
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
100091420A IN --

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FAQs about John Walter Bulger

What is the unique 10-digit identification code issued to John Walter Bulger by the Centers for Medicare & Medicaid Services?

The John Walter Bulger has been assigned the NPI (National Provider Identifier) 1821123035 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete physical location address of John Walter Bulger?

The John Walter Bulger is physically situated at 303 S Main St, in the city of Mishawaka, state of IN, with the postal code 465442189.

What is John Walter Bulger's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for John Walter Bulger is Family Medicine, and the taxonomy code that classifies this field of practice is 207Q00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1821123035 to John Walter Bulger?

The Centers for Medicare & Medicaid Services assigned the 1821123035 to John Walter Bulger on 2007-02-21.

When was the John Walter Bulger's information last updated?

The John Walter Bulger's information was last updated on 2010-01-15.

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