Jean N Perrin in West Lafayette - General Practice

Jean N Perrin - NPI 1205823143

Jean N Perrin is a General Practice in West Lafayette, Indiana. Jean N Perrin practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jean N Perrin is 1205823143. The last update date is 2007-07-08.

Jean N Perrin's current location address is 601 Stadium Mall Dr, West Lafayette, Indiana. You can contact this provider via phone number 7654941700 and fax number 7654961227. The mailing address for Jean N Perrin is 601 Stadium Mall Dr, West Lafayette, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Jean N Perrin
Address 601 Stadium Mall Dr, West Lafayette, Indiana
Phone Number 7654941700
Fax Number 7654961227
Sole Proprietor X
Credentials MD

NPI Number Detail

NPI Number 1205823143
Provider Enumeration Date 2005-10-05
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 601 Stadium Mall Dr
City West Lafayette
State Indiana (IN)
Post Code 479072052
Phone Number 7654941700
Fax Number 7654961227

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 208D00000X
Licence No 01022840A
Definition:
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
92633 GEISINGER HEALTH PLAN
183328 ANTHEM BLUE CROSS BLUE SH

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FAQs about Jean N Perrin

What is the unique identifier code issued to Jean N Perrin by the Centers for Medicare & Medicaid Services (CMS)?

The Jean N Perrin has been assigned the NPI (National Provider Identifier) 1205823143. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete street address where Jean N Perrin is physically located?

The Jean N Perrin is physically situated at the following address: 601 Stadium Mall Dr, West Lafayette, IN, 479072052.

What is the Jean N Perrin's area of specialization and corresponding taxonomy classification?

The Jean N Perrin's specialty field is General Practice, and it falls under the taxonomy code 208D00000X, which categorizes healthcare providers based on their specialties.

On what date did the Jean N Perrin receive the assignment of its 1205823143 from the Centers for Medicare & Medicaid Services?

The Jean N Perrin was issued its 1205823143 by the Centers for Medicare & Medicaid Services on 2005-10-05.

As of what date were the details related to Jean N Perrin most recently updated or revised?

The information pertaining to Jean N Perrin, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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