Eugene A Preston in South Bend - Medical

Eugene A Preston - NPI 1134225550

Eugene A Preston is a Medical in South Bend, Indiana. Eugene A Preston practices all healthcare services and medical treatments related to Medical. The NPI Number for Eugene A Preston is 1134225550. The last update date is 2011-03-23.

Eugene A Preston's current location address is 17511 Hepler St, South Bend, Indiana. You can contact this provider via phone number 5742766248 and fax number 2694282943. The mailing address for Eugene A Preston is 17511 Hepler St, South Bend, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Eugene A Preston
Address 17511 Hepler St, South Bend, Indiana
Phone Number 5742766248
Fax Number 2694282943
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1134225550
Provider Enumeration Date 2006-09-15
Last Updated Date 2011-03-23

Provider Mailing Address Detail

Address 17511 Hepler St
City South Bend
State Indiana (IN)
Post Code 466351831
Phone Number 5742766248
Fax Number 2694282943

Provider's Primary Taxonomy Detail

Speciality Medical
Taxonomy 363Am0700X
Licence No 5601002633
Definition:
A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment.

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FAQs about Eugene A Preston

What is the unique 10-digit identification code issued to Eugene A Preston by the Centers for Medicare & Medicaid Services?

The Eugene A Preston has been assigned the NPI (National Provider Identifier) 1134225550 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete physical location address of Eugene A Preston?

The Eugene A Preston is physically situated at 17511 Hepler St, in the city of South Bend, state of IN, with the postal code 466351831.

What is Eugene A Preston's specialized field of practice, and what is the corresponding taxonomy classification code?

The Eugene A Preston's area of specialization is Medical, and the corresponding taxonomy code that categorizes this field of practice is 363Am0700X.

On what date did the Eugene A Preston receive its 1134225550 assignment from the Centers for Medicare & Medicaid Services?

The Eugene A Preston was assigned its 1134225550 by the Centers for Medicare & Medicaid Services on 2006-09-15.

As of what date were the details pertaining to Eugene A Preston last refreshed?

The information related to the Eugene A Preston, including its address, specialty, and other relevant details, was last updated on 2011-03-23.

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