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DEACONESS CLINIC INC NPI 1609417682


NPI Information

NPI: 1609417682
Provider Name: DEACONESS CLINIC INC
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
533 W COLUMBIA ST
EVANSVILLE, IN
ZIP 47710
Phone: (812) 450-8350
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DEACONESS CLINIC INC is a podiatrist in Evansville, IN. The provider is 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 and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. DEACONESS CLINIC INC NPI is 1609417682. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

533 W COLUMBIA ST
EVANSVILLE, IN
ZIP 47710-617
Phone: (812) 450-8350
Fax: (812) 450-8102

The provider's authorized official is Cheryl Annette Wathen .
The authorized official title is Cfo and has the following contact phone number (812) 450-3296.

The enumeration date for this NPI number is 10/1/2019 and was last updated on 10/1/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RN0300XInternal MedicineNephrologyNo
2363A00000XPhysician AssistantNo
3363L00000XNurse PractitionerNo
4213E00000XPodiatristYes

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: 4/28/2024

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