Fred Duane Drake in Terre Haute - Otolaryngology

Fred Duane Drake - NPI 1124135967

Fred Duane Drake is a Otolaryngology in Terre Haute, Indiana. Fred Duane Drake practices all healthcare services and medical treatments related to Otolaryngology. The NPI Number for Fred Duane Drake is 1124135967. The last update date is 2013-03-14.

Fred Duane Drake's current location address is 221 S 6th St, Terre Haute, Indiana. You can contact this provider via phone number 8122423170 and fax number 8122353330. The mailing address for Fred Duane Drake is 221 S 6th St, Terre Haute, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Fred Duane Drake
Address 221 S 6th St, Terre Haute, Indiana
Phone Number 8122423170
Fax Number 8122353330
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1124135967
Provider Enumeration Date 2006-08-25
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 8122423170
Fax Number 8122353330

Provider's Primary Taxonomy Detail

Speciality Otolaryngology
Taxonomy 207Y00000X
Licence No 01024937A
Definition:
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head an

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
182870 US DEPT OF LABOR
100250540 IN --
89620 ANTHEM
40004682 RAILROAD MCARE PALAMETTO

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FAQs about Fred Duane Drake

What is the unique 10-digit identifier code assigned to Fred Duane Drake by the Centers for Medicare & Medicaid Services?

The Fred Duane Drake has been issued the NPI (National Provider Identifier) 1124135967 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Fred Duane Drake's facilities are situated?

The facilities of Fred Duane Drake are physically located at the following address: 221 S 6Th St, Terre Haute, IN, 478074214.

What is Fred Duane Drake's specialized field of practice, and what is the corresponding taxonomy classification code?

The Fred Duane Drake's area of specialization is Otolaryngology, and the corresponding taxonomy code that categorizes this field of practice is 207Y00000X.

On what date did Fred Duane Drake receive its 1124135967 assignment from the Centers for Medicare & Medicaid Services?

The Fred Duane Drake was assigned its 1124135967 on 2006-08-25, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Fred Duane Drake last refreshed?

The information related to the Fred Duane Drake, including its address, specialty, and other relevant details, was last updated on 2013-03-14.

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