Premise Health Of Indiana Medical, P.C. in Chesterton - Family Medicine
Premise Health Of Indiana Medical, P.C. - NPI 1942363841
Premise Health Of Indiana Medical, P.C. is a Family Medicine in Chesterton, Indiana. Premise Health Of Indiana Medical, P.C. practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Premise Health Of Indiana Medical, P.C. is 1942363841. The last update date is 2022-08-25.
Premise Health Of Indiana Medical, P.C.'s current location address is 2022 Kelle Dr, Chesterton, Indiana. You can contact this provider via phone number 2193952200 and fax number 2199831837. The mailing address for Premise Health Of Indiana Medical, P.C. is 2022 Kelle Dr, Chesterton, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Premise Health Of Indiana Medical, P.C. |
|---|---|
| Address | 2022 Kelle Dr, Chesterton, Indiana |
| Phone Number | 2193952200 |
| Fax Number | 2199831837 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Leizman Jon |
| Credentials | M.D. |
| Telephone Number | 2164799063 |
NPI Number Detail
| NPI Number | 1942363841 |
|---|---|
| Provider Enumeration Date | 2006-12-19 |
| Last Updated Date | 2022-08-25 |
Provider Mailing Address Detail
| Address | 2022 Kelle Dr |
|---|---|
| City | Chesterton |
| State | Indiana (IN) |
| Post Code | 463048708 |
| Phone Number | 2193952200 |
| Fax Number | 2199831837 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
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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 |
|---|---|---|---|
| 170220 | IN | MEDICARE PTAN | |
| CB6836 | IN | GROUP RAILROAD NUMBER |
Post Comment/ Review Below
What is the Premise Health Of Indiana Medical, P.C.'s 1942363841?
The Premise Health Of Indiana Medical, P.C.'s NPI (National Provider Identifier) Number is 1942363841. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Premise Health Of Indiana Medical, P.C.'s physical address?
The Premise Health Of Indiana Medical, P.C. is physically located at 2022 Kelle Dr, in the city of Chesterton, IN, with the postal code 463048708.
What is the area of specialization for Premise Health Of Indiana Medical, P.C., and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Premise Health Of Indiana Medical, P.C. is Family Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Q00000X.
On what date did the Premise Health Of Indiana Medical, P.C. receive its 1942363841 assignment from the Centers for Medicare & Medicaid Services?
The Premise Health Of Indiana Medical, P.C. was assigned its 1942363841 by the Centers for Medicare & Medicaid Services on 2006-12-19.
When was the information regarding Premise Health Of Indiana Medical, P.C. most recently updated?
The details pertaining to the Premise Health Of Indiana Medical, P.C., including its address, specialty, and other relevant information, were last refreshed on 2022-08-25.
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