NPI 1609417682 · live from the CMS NPI Registry
Deaconess Clinic INC
Podiatrist in Evansville, IN. National Provider Identifier 1609417682, active.
NPI record
| NPI | 1609417682 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist 213E00000X |
| Practice location | 533 W Columbia St, Evansville, IN 47710 |
| Practice phone | 812-450-8350 |
| Mailing address | Po Box 1510, Evansville, IN 47706 |
| Enumerated | October 1, 2019 |
| Last updated | October 1, 2019 |
| Authorized official | Cheryl Wathen, Cfo |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine, Nephrology | 207RN0300X | — |
| Physician Assistant | 363A00000X | — |
| Nurse Practitioner | 363L00000X | — |
| Podiatrist primary | 213E00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.