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NPI Code Detail

MEDICARE: DANIEL B ENGLAND PA-C

MEDICARE:   DANIEL B ENGLAND  PA-C
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
1363A00000XPhysician Assistant10000272AIN

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
4M400061278OTHERINMEDICARE PTAN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1064177OTHERINSIHO
2P0022040OTHERINRRMC
3000000373876OTHERINBCBS

General Provider Information

NPI Number : 1295701308
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIEL B ENGLAND PA-C
Provider Business Mailing Address
First Line : 250 N SHADELAND AVE
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46219-4959
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 13100 E 136TH ST
Second Line : STE 2000
City : FISHERS
State : IN
Zip : 46037-9478
Country : US
Telephone Number : 317-688-5980
Fax Number : 317-338-7252
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/28/2006
Last Update Date : 01/29/2024

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Directions to “ DANIEL B ENGLAND PA-C” Practice Location

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