Douglas L. Jarvis is a Psychiatry in Elkhart, Indiana. Douglas L. Jarvis practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Douglas L. Jarvis is 1376542050. The last update date is 2013-07-16.
Douglas L. Jarvis's current location address is 56218 Parkway Ave, Elkhart, Indiana. You can contact this provider via phone number 5742930005 and fax number 5742930019. The mailing address for Douglas L. Jarvis is 56218 Parkway Ave, Elkhart, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Douglas L. Jarvis |
|---|---|
| Address | 56218 Parkway Ave, Elkhart, Indiana |
| Phone Number | 5742930005 |
| Fax Number | 5742930019 |
| Sole Proprietor | Y |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1376542050 |
|---|---|
| Provider Enumeration Date | 2005-07-15 |
| Last Updated Date | 2013-07-16 |
Provider Mailing Address Detail
| Address | 56218 Parkway Ave |
|---|---|
| City | Elkhart |
| State | Indiana (IN) |
| Post Code | 465169326 |
| Phone Number | 5742930005 |
| Fax Number | 5742930019 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | 02001719A |
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Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200133490A | IN | -- | |
| 109345 | IN | ANTHEM BCBS # |
Post Comment/ Review Below
What is the unique identifier code issued to Douglas L. Jarvis by the Centers for Medicare & Medicaid Services?
The Douglas L. Jarvis has been assigned the NPI (National Provider Identifier) 1376542050. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Douglas L. Jarvis?
The Douglas L. Jarvis is situated at 56218 Parkway Ave, in the city of Elkhart, state of IN, with the zip code 465169326.
What is the Douglas L. Jarvis's area of specialization and corresponding taxonomy classification?
The Douglas L. Jarvis's specialty field is Psychiatry, and it falls under the taxonomy code 2084P0800X, which categorizes healthcare providers based on their specialties.
On what date was the 1376542050 assigned to Douglas L. Jarvis?
The Douglas L. Jarvis was issued its 1376542050 on 2005-07-15, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Douglas L. Jarvis most recently updated or refreshed?
The details pertaining to the Douglas L. Jarvis, including its address, specialty, and other relevant information, were last updated or refreshed on 2013-07-16.