1821028937 NPI number — BRIAN CHARLES MCGUCKIN D.C.

Table of content: BRIAN CHARLES MCGUCKIN D.C. (NPI 1821028937)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1821028937 NPI number — BRIAN CHARLES MCGUCKIN D.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MCGUCKIN
Provider First Name:
BRIAN
Provider Middle Name:
CHARLES
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
D.C.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1821028937
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/06/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 8907
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MICHIGAN CITY
Provider Business Mailing Address State Name:
IN
Provider Business Mailing Address Postal Code:
46361-8907
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
219-531-1234
Provider Business Mailing Address Fax Number:
219-531-0476

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
412 MARQUETTE ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
VALPARAISO
Provider Business Practice Location Address State Name:
IN
Provider Business Practice Location Address Postal Code:
46383-2563
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
219-531-1234
Provider Business Practice Location Address Fax Number:
219-531-0476
Provider Enumeration Date:
07/04/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 111NI0900X , with the licence number:  08001021A , registered in the state of IN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 00000019695 . This is a "ANTHEM PROVIDER" identifier , issued by the state of ( IN ) . This identifiers is of the category "OTHER".




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