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NPI Code Detail

MEDICARE: J FRANK VORMOHR MD

MEDICARE:   J FRANK VORMOHR  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician01035642IN

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3080075501OTHERMEDICARE RR RETIREMENT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000000087289OTHERANTHEM
29227OTHERPHP
4351730165OTHERSAGAMORE

General Provider Information

NPI Number : 1033117726
Entity Type Code : Individual
Provider Name (Legal Business Name) : J FRANK VORMOHR MD
Provider Business Mailing Address
First Line : 1200 W WHITE RIVER BLVD
Second Line :
City : MUNCIE
State : IN
Zip : 47303-4988
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 430 W VOTAW ST
Second Line :
City : PORTLAND
State : IN
Zip : 47371-1302
Country : US
Telephone Number : 260-726-7616
Fax Number : 260-726-8165
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2005
Last Update Date : 04/02/2021

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Directions to “ J FRANK VORMOHR MD” Practice Location

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