Jeffrey Alan Dedelow in Bloomington - Hospice And Palliative Medicine
Jeffrey Alan Dedelow - NPI 1376758524
Jeffrey Alan Dedelow is a Hospice And Palliative Medicine in Bloomington, Indiana. Jeffrey Alan Dedelow practices all healthcare services and medical treatments related to Hospice And Palliative Medicine. The NPI Number for Jeffrey Alan Dedelow is 1376758524. The last update date is 2021-12-09.
Jeffrey Alan Dedelow's current location address is 514 W 2nd St, Bloomington, Indiana. You can contact this provider via phone number 8123533719. The mailing address for Jeffrey Alan Dedelow is 514 W 2nd St, Bloomington, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffrey Alan Dedelow |
|---|---|
| Address | 514 W 2nd St, Bloomington, Indiana |
| Phone Number | 8123533719 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1376758524 |
|---|---|
| Provider Enumeration Date | 2007-05-11 |
| Last Updated Date | 2021-12-09 |
Provider Mailing Address Detail
| Address | 514 W 2nd St |
|---|---|
| City | Bloomington |
| State | Indiana (IN) |
| Post Code | 474032316 |
| Phone Number | 8123533719 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Hospice And Palliative Medicine |
|---|---|
| Taxonomy | 207Rh0002X |
| Licence No | 01069197A |
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Definition: An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize qu |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1049913 | LA | -- | |
| 4377066 | MS | -- | |
| 201015030 | IN | -- | |
| P01119545 | IN | RAILROAD MEDICARE | |
| 5186380 | MI | -- | |
| 90190 | OH | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Jeffrey Alan Dedelow by the Centers for Medicare & Medicaid Services (CMS)?
The Jeffrey Alan Dedelow has been assigned the NPI (National Provider Identifier) 1376758524. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Jeffrey Alan Dedelow's facilities are geographically located?
The facilities of Jeffrey Alan Dedelow are physically situated at the following location: 514 W 2Nd St, Bloomington, IN, 474032316.
What is Jeffrey Alan Dedelow's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jeffrey Alan Dedelow is Hospice And Palliative Medicine, and the taxonomy code that categorizes this field of expertise is 207Rh0002X.
On what date did the Centers for Medicare & Medicaid Services assign the 1376758524 to Jeffrey Alan Dedelow?
The Centers for Medicare & Medicaid Services assigned the 1376758524 to Jeffrey Alan Dedelow on 2007-05-11.
When was the information pertaining to Jeffrey Alan Dedelow most recently updated or revised?
The details related to Jeffrey Alan Dedelow, including its address, specialty, and other relevant information, were last updated or revised on 2021-12-09.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY