DEACONESS SPECIALTY PHYSICIANS INC JASPER, IN

Contact Information

DEACONESS SPECIALTY PHYSICIANS, INC

440 SCOTT ROLEN DR
JASPER, IN 47546

Phone: 812-450-7899
Fax: 812-450-6029
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Cardiovascular Disease	207RC0000X	11	Physician/Internal Medicine
Clinical Cardiac Electrophysiology	207RC0001X	11	Physician/Internal Medicine
Interventional Cardiology	207RI0011X	11	Physician/Internal Medicine
Medical	363AM0700X	97	Physician Assistant
Nurse Practitioner	363L00000X	50	Nurse Practitioner
Physician Assistant	363A00000X	97	Physician Assistant
Surgical	363AS0400X	97	Physician Assistant
Thoracic Surgery (Cardiothoracic Vascular Surgery)	208G00000X	02	Physician/General Surgery
Vascular Surgery	2086S0129X	76	Physician/Peripheral Vascular Disease

Indicates primary specialty

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NPI Profile & details for DEACONESS SPECIALTY PHYSICIANS INC · (Female)

NPI Number	`1679077200`
Status	Active
Credentials
Entity	Individual
Enumeration date	03/20/2018
Last updated	05/15/2018 - About 8 years ago
Sole proprietor ¹	Not specified
Identifiers	Not Available
Hospital affiliation(s)	Not Available

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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