Guercy Saint-Phard in Benton Harbor - Podiatrist

Guercy Saint-Phard - NPI 1689613416

Guercy Saint-Phard is a Podiatrist in Benton Harbor, Michigan. Guercy Saint-Phard practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Guercy Saint-Phard is 1689613416. The last update date is 2008-06-03.

Guercy Saint-Phard's current location address is 190 W Empire Ave, Benton Harbor, Michigan. You can contact this provider via phone number 2699268535 and fax number 2699268528. The mailing address for Guercy Saint-Phard is 190 W Empire Ave, Benton Harbor, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Guercy Saint-Phard
Address 190 W Empire Ave, Benton Harbor, Michigan
Phone Number 2699268535
Fax Number 2699268528
Sole Proprietor Y
Credentials D.P.M

NPI Number Detail

NPI Number 1689613416
Provider Enumeration Date 2006-06-06
Last Updated Date 2008-06-03

Provider Mailing Address Detail

Address 190 W Empire Ave
City Benton Harbor
State Michigan (MI)
Post Code 490227422
Phone Number 2699268535
Fax Number 2699268528

Provider's Primary Taxonomy Detail

Speciality Podiatrist
Taxonomy 213E00000X
Licence No 5901002223
Definition:
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
480F37288 MI BCBSMI PIN
4858290 MI --
4995496 MI --
480006536 MI RAILROAD MEDICARE

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FAQs about Guercy Saint-Phard

What is the unique provider identifier assigned to Guercy Saint-Phard?

The Guercy Saint-Phard has been issued the NPI (National Provider Identifier) 1689613416 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you share the physical location details of Guercy Saint-Phard?

The Guercy Saint-Phard is situated at 190 W Empire Ave, in the city of Benton Harbor, state of MI, with the zip code 490227422.

What is Guercy Saint-Phard's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Guercy Saint-Phard is Podiatrist, and the taxonomy code that categorizes this field of expertise is 213E00000X.

On what date did the Guercy Saint-Phard receive the assignment of its 1689613416 from the Centers for Medicare & Medicaid Services?

The Guercy Saint-Phard was issued its 1689613416 by the Centers for Medicare & Medicaid Services on 2006-06-06.

When was the information pertaining to Guercy Saint-Phard most recently updated or revised?

The details related to Guercy Saint-Phard, including its address, specialty, and other relevant information, were last updated or revised on 2008-06-03.

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