Tucker G. Balam in South Bend - Family Medicine
Tucker G. Balam - NPI 1861652463
Tucker G. Balam is a Family Medicine in South Bend, Indiana. Tucker G. Balam practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Tucker G. Balam is 1861652463. The last update date is 2021-03-30.
Tucker G. Balam's current location address is 714 N Michigan St, South Bend, Indiana. You can contact this provider via phone number 5746477477 and fax number 5746473655. The mailing address for Tucker G. Balam is 714 N Michigan St, South Bend, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tucker G. Balam |
|---|---|
| Address | 714 N Michigan St, South Bend, Indiana |
| Phone Number | 5746477477 |
| Fax Number | 5746473655 |
| Sole Proprietor | N |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1861652463 |
|---|---|
| Provider Enumeration Date | 2008-06-17 |
| Last Updated Date | 2021-03-30 |
Provider Mailing Address Detail
| Address | 714 N Michigan St |
|---|---|
| City | South Bend |
| State | Indiana (IN) |
| Post Code | 466011035 |
| Phone Number | 5746477477 |
| Fax Number | 5746473655 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 02003535A |
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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 |
|---|---|---|---|
| 201382680 | IN | -- |
Post Comment/ Review Below
What is the Tucker G. Balam's unique identification number?
The Tucker G. Balam has been assigned the NPI (National Provider Identifier) Number 1861652463 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Tucker G. Balam's facilities are geographically located?
The facilities of Tucker G. Balam are physically situated at the following location: 714 N Michigan St, South Bend, IN, 466011035.
What is Tucker G. Balam's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Tucker G. Balam is Family Medicine, and the taxonomy code that classifies this field of practice is 207Q00000X.
When did the Tucker G. Balam receive its 1861652463?
The Tucker G. Balam was issued its 1861652463 on 2008-06-17, which is the date when the organization was assigned this unique identifier.
When was the information related to Tucker G. Balam most recently updated or refreshed?
The details pertaining to the Tucker G. Balam, including its address, specialty, and other relevant information, were last updated or refreshed on 2021-03-30.