Edith M Cullen is a Sports Medicine in Elkhart, Indiana. Edith M Cullen practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Edith M Cullen is 1720073521. The last update date is 2013-10-23.
Edith M Cullen's current location address is 2310 California Rd, Elkhart, Indiana. You can contact this provider via phone number 5742644163 and fax number 5742629650. The mailing address for Edith M Cullen is 2310 California Rd, Elkhart, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Edith M Cullen |
|---|---|
| Address | 2310 California Rd, Elkhart, Indiana |
| Phone Number | 5742644163 |
| Fax Number | 5742629650 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1720073521 |
|---|---|
| Provider Enumeration Date | 2005-09-19 |
| Last Updated Date | 2013-10-23 |
Provider Mailing Address Detail
| Address | 2310 California Rd |
|---|---|
| City | Elkhart |
| State | Indiana (IN) |
| Post Code | 465141228 |
| Phone Number | 5742644163 |
| Fax Number | 5742629650 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Qs0010X |
| Licence No | 01061215A |
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Definition: A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 201092890 | IN | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Edith M Cullen by the Centers for Medicare & Medicaid Services?
The Edith M Cullen has been issued the NPI (National Provider Identifier) 1720073521. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Edith M Cullen?
The Edith M Cullen is situated at 2310 California Rd, in the city of Elkhart, state of IN, with the zip code 465141228.
What is Edith M Cullen's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Edith M Cullen is Sports Medicine, and the taxonomy code that classifies this field of practice is 207Qs0010X.
On what date did the Edith M Cullen receive its 1720073521 assignment from the Centers for Medicare & Medicaid Services?
The Edith M Cullen was assigned its 1720073521 by the Centers for Medicare & Medicaid Services on 2005-09-19.
As of what date were the details pertaining to Edith M Cullen last refreshed?
The information related to the Edith M Cullen, including its address, specialty, and other relevant details, was last updated on 2013-10-23.
NPI Number: 1528061710
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