Dale Dennis Deardorff in South Bend - Family Medicine
Dale Dennis Deardorff - NPI 1043266653
Dale Dennis Deardorff is a Family Medicine in South Bend, Indiana. Dale Dennis Deardorff practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Dale Dennis Deardorff is 1043266653. The last update date is 2009-02-23.
Dale Dennis Deardorff's current location address is Po Box 6309, South Bend, Indiana. You can contact this provider via phone number 5744726700 and fax number 5744726746. The mailing address for Dale Dennis Deardorff is Po Box 6309, South Bend, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dale Dennis Deardorff |
|---|---|
| Address | Po Box 6309, South Bend, Indiana |
| Phone Number | 5744726700 |
| Fax Number | 5744726746 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1043266653 |
|---|---|
| Provider Enumeration Date | 2006-05-25 |
| Last Updated Date | 2009-02-23 |
Provider Mailing Address Detail
| Address | Po Box 6309 |
|---|---|
| City | South Bend |
| State | Indiana (IN) |
| Post Code | 466606309 |
| Phone Number | 5744726700 |
| Fax Number | 5744726746 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 1025330 |
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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 |
|---|---|---|---|
| 100220930A | IN | -- | |
| 214800 | IN | BCBS |
Post Comment/ Review Below
What is the unique identifier code issued to Dale Dennis Deardorff by the Centers for Medicare & Medicaid Services?
The Dale Dennis Deardorff has been assigned the NPI (National Provider Identifier) 1043266653. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Dale Dennis Deardorff?
The Dale Dennis Deardorff is situated at Po Box 6309, in the city of South Bend, state of IN, with the zip code 466606309.
What is Dale Dennis Deardorff's area of expertise and its corresponding taxonomy classification?
The Dale Dennis Deardorff's field of specialization is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Dale Dennis Deardorff receive its 1043266653 assignment from the Centers for Medicare & Medicaid Services?
The Dale Dennis Deardorff was assigned its 1043266653 by the Centers for Medicare & Medicaid Services on 2006-05-25.
As of what date was the information pertaining to Dale Dennis Deardorff, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Dale Dennis Deardorff, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2009-02-23.
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