JOHN BENJAMIN DAVID TATUM DD PHD NPI 1174081095

NPI Information

NPI: 1174081095
Provider Name: JOHN BENJAMIN DAVID TATUM, DD PHD
Classification: Counselor - 101YP1600X
Entity Type: Individual

Specialization: Pastoral

Address:
99 DAWSON AVENUE
BACK DOOR @ TOP OF W/C RAMP
MANSFIELD, OH
ZIP 44906
Phone: (419) 524-8337
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John Benjamin David Tatum, DD PHD is a pastoral counselor in Mansfield, OH. John Benjamin David Tatum, DD PHD NPI is 1174081095. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

99 DAWSON AVENUE
BACK DOOR @ TOP OF W/C RAMP
MANSFIELD, OH
ZIP 44906-201
Phone: (419) 524-8337

The enumeration date for this NPI number is 3/10/2019 and was last updated on 3/10/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	101YP1600X	Counselor	Pastoral	Yes
2	146D00000X	Personal Emergency Response Attendant		No
3	177F00000X	Lodging		No
4	251E00000X	Home Health		No
5	347C00000X	Private Vehicle		No
6	376J00000X	Homemaker		No
7	253Z00000X	In Home Supportive Care		No
8	174200000X	Meals		No
9	374K00000X	Religious Nonmedical Practitioner		No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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