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NPI Code Detail

MEDICARE: DR. JOSE G PANSZI M.D.

MEDICARE: DR. JOSE G PANSZI M.D.
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
12084N0400XNeurology Physician01024254IN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1861465908
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOSE G PANSZI M.D.
Provider Business Mailing Address
First Line : 303 S MAIN ST
Second Line :
City : BLUFFTON
State : IN
Zip : 46714-2503
Country : US
Telephone Number : 260-919-3454
Fax Number : 260-919-3560
Provider Business Practice Location Address
First Line : 303 S MAIN ST
Second Line :
City : BLUFFTON
State : IN
Zip : 46714-2503
Country : US
Telephone Number : 260-919-3454
Fax Number : 260-919-3560
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2006
Last Update Date : 08/18/2015

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