DIABETES ASSOCIATION OF ST JOSEPH COUNTY INC NPI 1235320540

NPI Information

NPI: 1235320540
Provider Name: DIABETES ASSOCIATION OF ST JOSEPH COUNTY INC
Classification: Registered Nurse - 163WD0400X
Entity Type: Organization

Specialization: Diabetes Educator

Address:
6910 NORTH MAIN ST
BUILDING 9
GRANGER, IN
ZIP 46530
Phone: (574) 247-6047
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DIABETES ASSOCIATION OF ST JOSEPH COUNTY INC is a diabetes educator registered nurse in Granger, IN. DIABETES ASSOCIATION OF ST JOSEPH COUNTY INC NPI is 1235320540. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6910 NORTH MAIN ST
BUILDING 9
GRANGER, IN
ZIP 46530
Phone: (574) 247-6047
Fax: (574) 247-6060

The provider's authorized official is Bonita A Raine .
The authorized official title is Executive Director and has the following contact phone number (574) 247-6047.

The enumeration date for this NPI number is 8/5/2007 and was last updated on 8/5/2007.

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	License Number	License State	Primary
1	163WD0400X	Registered Nurse	Diabetes Educator	28071850A	INDIANA	Yes

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: 5/5/2024

NPI Synchronization or Removal

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