| Joseph A Dejoan Md Llc | |
|
3301 Calumet Ave Valparaiso IN 46383-2614 | |
| (219) 462-0508 | |
| (219) 531-9032 |
| Full Name | Joseph A Dejoan Md Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3301 Calumet Ave, Valparaiso, Indiana |
| Authorized Official Name and Position | Joseph A Dejoan (PRESIDENT) |
| Authorized Official Contact | 2194620508 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph A Dejoan Md Llc Po Box 261 Valparaiso IN 46384-0261 Ph: (219) 476-0352 | Joseph A Dejoan Md Llc 3301 Calumet Ave Valparaiso IN 46383-2614 Ph: (219) 462-0508 |
| NPI Number | 1205034774 |
|---|---|
| Provider Enumeration Date | 07/06/2007 |
| Last Update Date | 05/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205034774 | NPI | - | NPPES |
| 200887940 | Medicaid | IN | |
| 000000526797 | Other | IN | ANTHEM BC/BS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 01046269A (Indiana) | Primary |
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