Jon Blake Chadwell in South Bend - Otolaryngology/facial Plastic Surgery
Jon Blake Chadwell - NPI 1255380903
Jon Blake Chadwell is a Otolaryngology/facial Plastic Surgery in South Bend, Indiana. Jon Blake Chadwell practices all healthcare services and medical treatments related to Otolaryngology/facial Plastic Surgery. The NPI Number for Jon Blake Chadwell is 1255380903. The last update date is 2023-03-07.
Jon Blake Chadwell's current location address is 6301 University Commons, South Bend, Indiana. You can contact this provider via phone number 5742324800 and fax number 5742804810. The mailing address for Jon Blake Chadwell is 6301 University Commons, South Bend, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jon Blake Chadwell |
|---|---|
| Address | 6301 University Commons, South Bend, Indiana |
| Phone Number | 5742324800 |
| Fax Number | 5742804810 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1255380903 |
|---|---|
| Provider Enumeration Date | 2006-05-09 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 6301 University Commons |
|---|---|
| City | South Bend |
| State | Indiana (IN) |
| Post Code | 466351571 |
| Phone Number | 5742324800 |
| Fax Number | 5742804810 |
Provider's Primary Taxonomy Detail
| Speciality | Otolaryngology/facial Plastic Surgery |
|---|---|
| Taxonomy | 207Yx0905X |
| Licence No | 01061815A |
|
Definition: An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 01061815A | IN | INDIANA LICENSE | |
| 485851 | IN | ANTHEM PIN | |
| 200523340A | IN | -- |
Post Comment/ Review Below
What is the Jon Blake Chadwell's 1255380903?
The Jon Blake Chadwell's NPI (National Provider Identifier) Number is 1255380903. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Jon Blake Chadwell?
The Jon Blake Chadwell is situated at 6301 University Commons, in the city of South Bend, state of IN, with the zip code 466351571.
What is Jon Blake Chadwell's area of expertise and its corresponding taxonomy classification?
The Jon Blake Chadwell's field of specialization is Otolaryngology/facial Plastic Surgery, and it falls under the taxonomy code 207Yx0905X, which categorizes healthcare providers based on their areas of practice.
On what date did Jon Blake Chadwell receive its 1255380903 assignment from the Centers for Medicare & Medicaid Services?
The Jon Blake Chadwell was assigned its 1255380903 on 2006-05-09, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Jon Blake Chadwell most recently updated or revised?
The details related to Jon Blake Chadwell, including its address, specialty, and other relevant information, were last updated or revised on 2023-03-07.