Healthcare Provider Details

I. General information

NPI: 1992625883
Provider Name (Legal Business Name): DR. DANIEL J APPLEGATE
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 W STATE ROAD 44
FRANKLIN IN
46131-8938
US

IV. Provider business mailing address

101 W STATE ROAD 44
FRANKLIN IN
46131-8938
US

V. Phone/Fax

Practice location:
  • Phone: 269-479-8038
  • Fax:
Mailing address:
  • Phone: 269-479-8038
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number645694
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: