NPI 1104869569 HEATHER C UPCHURCH PA CROWN POINT IN. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Heather C Upchurch - NPI: 1104869569

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: HEATHER C UPCHURCH
NPI Number: 1104869569
Entity Type Code: Individual (1)
Gender: F
Credentials: PA
License Number: 10000889A
Business Practice Address: 70 W 94th Place
Crown Point, IN - 463071710
Business Phone Number: 2196628822
Business Fax Number: 2196628833
Mailing Address: 70 W 94th Place,
CROWN POINT
State: IN
Postal Code: 463071710
Phone Number: 2196628822
Fax Number: 2196628833
NPI Enumeration Date: 06/14/2006
NPI Last Update Date: 06/17/2008
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 363AM0700X
License Number: 10000889A
Healthcare Provider Taxonomy:
(Secondary)
Y
State: IN
Taxonomy Type: Physician Assistants & Advanced Practice Nursing Providers
Taxonomy Classification: Physician Assistant
Taxonomy Specialization: Medical
Taxonomy Definition:


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