Healthcare Provider Details

I. General information

NPI: 1427979616
Provider Name (Legal Business Name): JOSEPH MANFORD STRUNK RN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2651 E DISCOVERY PKWY
BLOOMINGTON IN
47408-9059
US

IV. Provider business mailing address

607 N MONROE ST
BLOOMINGTON IN
47404-3288
US

V. Phone/Fax

Practice location:
  • Phone: 812-353-9515
  • Fax:
Mailing address:
  • Phone: 815-592-9755
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License Number28288485A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: