Doctor Name: | DR. DAVID CUMMINS |
NPI Number: | 1043475445 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 01068420A |
Business Practice Address: | 85 E Us Highway 6 Valparaiso, IN - 463838947 |
Business Phone Number: | 2199838300 |
Business Fax Number: | |
Mailing Address: | 2410 Nottingham Dr, VALPARAISO |
State: | IN |
Postal Code: | 463839181 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 07/24/2008 |
NPI Last Update Date: | 10/29/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207QA0401X |
License Number: | 01068420A |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IN |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Family Medicine |
Taxonomy Specialization: | Addiction Medicine |
Taxonomy Definition: | A family medicine physician who specializes in the diagnosis and treatment of addictions. |