Jennifer Irene Wake Bigelow in Mooresville - Family Medicine

Jennifer Irene Wake Bigelow - NPI 1750363123

Jennifer Irene Wake Bigelow is a Family Medicine in Mooresville, Indiana. Jennifer Irene Wake Bigelow practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Jennifer Irene Wake Bigelow is 1750363123. The last update date is 2014-06-24.

Jennifer Irene Wake Bigelow's current location address is 461 Town Center Road, Mooresville, Indiana. You can contact this provider via phone number 3175677954 and fax number 3178349399. The mailing address for Jennifer Irene Wake Bigelow is 461 Town Center Road, Mooresville, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Jennifer Irene Wake Bigelow
Address 461 Town Center Road, Mooresville, Indiana
Phone Number 3175677954
Fax Number 3178349399
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1750363123
Provider Enumeration Date 2005-11-18
Last Updated Date 2014-06-24

Provider Mailing Address Detail

Address 461 Town Center Road
City Mooresville
State Indiana (IN)
Post Code 46158
Phone Number 3175677954
Fax Number 3178349399

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 01050867A
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
200198850 IN --

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FAQs about Jennifer Irene Wake Bigelow

What is the unique identifier code issued to Jennifer Irene Wake Bigelow by the Centers for Medicare & Medicaid Services (CMS)?

The Jennifer Irene Wake Bigelow has been assigned the NPI (National Provider Identifier) 1750363123. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you kindly provide the complete physical address where Jennifer Irene Wake Bigelow's facilities are geographically located?

The facilities of Jennifer Irene Wake Bigelow are physically situated at the following location: 461 Town Center Road, Mooresville, IN, 46158.

What is Jennifer Irene Wake Bigelow's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Jennifer Irene Wake Bigelow is Family Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Q00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1750363123 to Jennifer Irene Wake Bigelow?

The Centers for Medicare & Medicaid Services originally issued the 1750363123 to Jennifer Irene Wake Bigelow on 2005-11-18.

When was the information pertaining to Jennifer Irene Wake Bigelow most recently updated or revised?

The details related to Jennifer Irene Wake Bigelow, including its address, specialty, and other relevant information, were last updated or revised on 2014-06-24.

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