Daniel E Tackabury in North Branch - Family Medicine
Daniel E Tackabury - NPI 1104807973
Daniel E Tackabury is a Family Medicine in North Branch, Michigan. Daniel E Tackabury practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Daniel E Tackabury is 1104807973. The last update date is 2007-07-08.
Daniel E Tackabury's current location address is 3789 Huron St, North Branch, Michigan. You can contact this provider via phone number 8106883093 and fax number 8106883964. The mailing address for Daniel E Tackabury is 3789 Huron St, North Branch, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Daniel E Tackabury |
|---|---|
| Address | 3789 Huron St, North Branch, Michigan |
| Phone Number | 8106883093 |
| Fax Number | 8106883964 |
| Sole Proprietor | X |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1104807973 |
|---|---|
| Provider Enumeration Date | 2005-11-09 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3789 Huron St |
|---|---|
| City | North Branch |
| State | Michigan (MI) |
| Post Code | 484618117 |
| Phone Number | 8106883093 |
| Fax Number | 8106883964 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 4301070116 |
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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 |
|---|---|---|---|
| 253174 | MA | MCLAREN HEALTH PLAN | |
| C7436 | MA | MCARE | |
| 253174 | MA | HEALTH ADVANTAGE NETWORK | |
| 4226712 | MI | -- | |
| 988276 | MA | HEALTH PLUS | |
| 6872693001 | MI | CIGNA | |
| 7936230 | MI | AETNA | |
| H21189 | MI | HEALTH ALLIANCE PLAN | |
| H21189 | MI | HEALTH NET FEDERAL SERV |
Post Comment/ Review Below
What is the unique provider identifier assigned to Daniel E Tackabury?
The Daniel E Tackabury has been issued the NPI (National Provider Identifier) 1104807973 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Daniel E Tackabury is geographically located?
The Daniel E Tackabury is physically situated at the following location: 3789 Huron St, North Branch, MI, 484618117.
What is Daniel E Tackabury's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Daniel E Tackabury is Family Medicine, and the corresponding taxonomy classification code for this specialized field is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1104807973 to Daniel E Tackabury?
The Daniel E Tackabury received its 1104807973 assignment from the Centers for Medicare & Medicaid Services on 2005-11-09.
When was the information regarding Daniel E Tackabury most recently updated?
The details pertaining to the Daniel E Tackabury, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.