Larry Bledsoe in Fort Wayne - Geriatric Medicine
Larry Bledsoe - NPI 1396763702
Larry Bledsoe is a Geriatric Medicine in Fort Wayne, Indiana. Larry Bledsoe practices all healthcare services and medical treatments related to Geriatric Medicine. The NPI Number for Larry Bledsoe is 1396763702. The last update date is 2016-09-01.
Larry Bledsoe's current location address is 620 W Berry St, Fort Wayne, Indiana. You can contact this provider via phone number 2604246311 and fax number 2604246311. The mailing address for Larry Bledsoe is 620 W Berry St, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Larry Bledsoe |
|---|---|
| Address | 620 W Berry St, Fort Wayne, Indiana |
| Phone Number | 2604246311 |
| Fax Number | 2604246311 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1396763702 |
|---|---|
| Provider Enumeration Date | 2006-07-17 |
| Last Updated Date | 2016-09-01 |
Provider Mailing Address Detail
| Address | 620 W Berry St |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 468022106 |
| Phone Number | 2604246311 |
| Fax Number | 2604246311 |
Provider's Primary Taxonomy Detail
| Speciality | Geriatric Medicine |
|---|---|
| Taxonomy | 207Rg0300X |
| Licence No | 1028106 |
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Definition: An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the of |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100061080A | IN | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Larry Bledsoe by the Centers for Medicare & Medicaid Services?
The Larry Bledsoe has been issued the NPI (National Provider Identifier) 1396763702 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Larry Bledsoe is physically located?
The Larry Bledsoe is situated at the following address: 620 W Berry St, Fort Wayne, IN 468022106.
What is the Larry Bledsoe's area of specialization and corresponding taxonomy classification?
The Larry Bledsoe's specialty field is Geriatric Medicine, and it falls under the taxonomy code 207Rg0300X, which categorizes healthcare providers based on their specialties.
When did Larry Bledsoe receive its 1396763702 assignment?
The Larry Bledsoe was assigned its 1396763702 on 2006-07-17, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Larry Bledsoe, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Larry Bledsoe, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2016-09-01.