Diane Jordan-Wagner in Terre Haute - Allergy & Immunology
Diane Jordan-Wagner - NPI 1013025097
Diane Jordan-Wagner is a Allergy & Immunology in Terre Haute, Indiana. Diane Jordan-Wagner practices all healthcare services and medical treatments related to Allergy & Immunology. The NPI Number for Diane Jordan-Wagner is 1013025097. The last update date is 2013-03-14.
Diane Jordan-Wagner's current location address is 221 S 6th St, Terre Haute, Indiana. You can contact this provider via phone number 8122320564 and fax number 8122353330. The mailing address for Diane Jordan-Wagner is 221 S 6th St, Terre Haute, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Diane Jordan-Wagner |
|---|---|
| Address | 221 S 6th St, Terre Haute, Indiana |
| Phone Number | 8122320564 |
| Fax Number | 8122353330 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1013025097 |
|---|---|
| Provider Enumeration Date | 2006-08-29 |
| Last Updated Date | 2013-03-14 |
Provider Mailing Address Detail
| Address | 221 S 6th St |
|---|---|
| City | Terre Haute |
| State | Indiana (IN) |
| Post Code | 478074214 |
| Phone Number | 8122320564 |
| Fax Number | 8122353330 |
Provider's Primary Taxonomy Detail
| Speciality | Allergy & Immunology |
|---|---|
| Taxonomy | 207Ra0201X |
| Licence No | 01056292A |
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Definition: An internist doctor of osteopathy that specializes in the treatment of allergy and immunologic disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Speci |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 30005377 | RAILROAD MCARE PALAMETTO | ||
| 200392780 | IN | -- | |
| P00844293 | IN | RAILROAD MEDICARE | |
| 230225 | ANTHEM | ||
| 200392780Q | IN | -- |
Post Comment/ Review Below
What is the Diane Jordan-Wagner's unique identification number?
The Diane Jordan-Wagner has been assigned the NPI (National Provider Identifier) Number 1013025097 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Diane Jordan-Wagner is geographically located?
The Diane Jordan-Wagner is physically situated at the following location: 221 S 6Th St, Terre Haute, IN, 478074214.
What is Diane Jordan-Wagner's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Diane Jordan-Wagner is Allergy & Immunology, and the corresponding taxonomy classification code for this specialized field is 207Ra0201X.
When did the Diane Jordan-Wagner receive its 1013025097?
The Diane Jordan-Wagner was issued its 1013025097 on 2006-08-29, which is the date when the organization was assigned this unique identifier.
When was the Diane Jordan-Wagner's information last updated?
The Diane Jordan-Wagner's information was last updated on 2013-03-14.
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