Jodi Bult is a Adult Health in Dyer, Indiana. Jodi Bult practices all healthcare services and medical treatments related to Adult Health. The NPI Number for Jodi Bult is 1669447900. The last update date is 2021-04-08.
Jodi Bult's current location address is 15900 W 101st Ave, Dyer, Indiana. You can contact this provider via phone number 2193656333 and fax number 2193658291. The mailing address for Jodi Bult is 15900 W 101st Ave, Dyer, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jodi Bult |
|---|---|
| Address | 15900 W 101st Ave, Dyer, Indiana |
| Phone Number | 2193656333 |
| Fax Number | 2193658291 |
| Sole Proprietor | N |
| Credentials | N.P. |
NPI Number Detail
| NPI Number | 1669447900 |
|---|---|
| Provider Enumeration Date | 2006-02-21 |
| Last Updated Date | 2021-04-08 |
Provider Mailing Address Detail
| Address | 15900 W 101st Ave |
|---|---|
| City | Dyer |
| State | Indiana (IN) |
| Post Code | 463113065 |
| Phone Number | 2193656333 |
| Fax Number | 2193658291 |
Provider's Primary Taxonomy Detail
| Speciality | Adult Health |
|---|---|
| Taxonomy | 363La2200X |
| Licence No | 071004325A |
|
Definition: An advanced practice registered nurse expert in providing primary and specialty healthcare services to adult patients. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200424880A | IN | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Jodi Bult by the Centers for Medicare & Medicaid Services?
The Jodi Bult has been assigned the NPI (National Provider Identifier) 1669447900 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 street address where Jodi Bult is physically located?
The Jodi Bult is physically situated at the following address: 15900 W 101St Ave, Dyer, IN, 463113065.
What is Jodi Bult's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jodi Bult is Adult Health, and the corresponding taxonomy classification code for this specialized field is 363La2200X.
On what date did the Jodi Bult receive the assignment of its 1669447900 from the Centers for Medicare & Medicaid Services?
The Jodi Bult was issued its 1669447900 by the Centers for Medicare & Medicaid Services on 2006-02-21.
As of what date were the Jodi Bult's details last updated?
The information pertaining to the Jodi Bult, including its address, specialty, and other details, was most recently updated on 2021-04-08.