Loren J Decarlo is a Family Medicine in Capac, Michigan. Loren J Decarlo practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Loren J Decarlo is 1629003462. The last update date is 2011-03-21.
Loren J Decarlo's current location address is 117 S Main St, Capac, Michigan. You can contact this provider via phone number 8103954840 and fax number 8103957551. The mailing address for Loren J Decarlo is 117 S Main St, Capac, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Loren J Decarlo |
|---|---|
| Address | 117 S Main St, Capac, Michigan |
| Phone Number | 8103954840 |
| Fax Number | 8103957551 |
| Sole Proprietor | Y |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1629003462 |
|---|---|
| Provider Enumeration Date | 2006-07-11 |
| Last Updated Date | 2011-03-21 |
Provider Mailing Address Detail
| Address | 117 S Main St |
|---|---|
| City | Capac |
| State | Michigan (MI) |
| Post Code | 480143715 |
| Phone Number | 8103954840 |
| Fax Number | 8103957551 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 5101013942 |
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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 |
|---|---|---|---|
| 4735675 | MI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Loren J Decarlo by the Centers for Medicare & Medicaid Services?
The Loren J Decarlo has been assigned the NPI (National Provider Identifier) 1629003462 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 Loren J Decarlo?
The Loren J Decarlo is physically situated at 117 S Main St, in the city of Capac, state of MI, with the postal code 480143715.
What is Loren J Decarlo'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 Loren J Decarlo is Family Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Q00000X.
When did Loren J Decarlo receive its 1629003462 assignment?
The Loren J Decarlo was assigned its 1629003462 on 2006-07-11, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Loren J Decarlo last refreshed?
The information related to the Loren J Decarlo, including its address, specialty, and other relevant details, was last updated on 2011-03-21.
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