Dunfee, Joyce Vestal

Dunfee, Joyce Vestal is an individual health care provider with primary practice located at 714 N Michigan St , South Bend IN 46601-1035. She recently has only one registered license in Behavioral Health & Social Service Providers / Health Service, which is considered as her primary health care specialty. Dunfee, Joyce Vestal can be contacted via phone (574) 647-7477.

Contact Information

Primary practice address
714 N Michigan St South Bend IN 46601-1035
Phone: (574) 647-7477
Fax: (574) 647-3655
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Health Service 103TH0100X 20040326A Indiana

Profile Details

NPI number 1659369098
LBN Legal business name Dunfee, Joyce Vestal
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2005
Last updated Mar 8th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659369098 NPPES
Indiana MEDICAID 100090800
Indiana Other 000000493940
Indiana Other 000000225845

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