John M Decelles in South Bend - Internal Medicine

John M Decelles - NPI 1841238490

John M Decelles is a Internal Medicine in South Bend, Indiana. John M Decelles practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for John M Decelles is 1841238490. The last update date is 2009-12-04.

John M Decelles's current location address is Po Box 6309, South Bend, Indiana. You can contact this provider via phone number 5744726700 and fax number 5744726746. The mailing address for John M Decelles is Po Box 6309, South Bend, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name John M Decelles
Address Po Box 6309, South Bend, Indiana
Phone Number 5744726700
Fax Number 5744726746
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1841238490
Provider Enumeration Date 2006-06-04
Last Updated Date 2009-12-04

Provider Mailing Address Detail

Address Po Box 6309
City South Bend
State Indiana (IN)
Post Code 466606309
Phone Number 5744726700
Fax Number 5744726746

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No 1051161
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
215219 IN BCBS
200228210A IN --
21236800 IN FEDERAL BLACK LUNG

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FAQs about John M Decelles

What is the unique 10-digit identifier code assigned to John M Decelles by the Centers for Medicare & Medicaid Services?

The John M Decelles has been issued the NPI (National Provider Identifier) 1841238490 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where John M Decelles's facilities are geographically located?

The facilities of John M Decelles are physically situated at the following location: Po Box 6309, South Bend, IN, 466606309.

What is John M Decelles's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for John M Decelles is Internal Medicine, and the taxonomy code that classifies this field of practice is 207R00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1841238490 to John M Decelles?

The John M Decelles received its 1841238490 assignment from the Centers for Medicare & Medicaid Services on 2006-06-04.

As of what date were the details pertaining to John M Decelles last refreshed?

The information related to the John M Decelles, including its address, specialty, and other relevant details, was last updated on 2009-12-04.

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