Kiehm, Taegee

Kiehm, Taegee is an individual health care provider with primary practice located at 5215 Holy Cross Parkway , Mishawaka IN 46545-1469. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Legal Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Kiehm, Taegee can be contacted via phone (574) 237-7168.

Contact Information

Primary practice address
5215 Holy Cross Parkway Mishawaka IN 46545-1469
Phone: (574) 237-7168
Fax: (574) 472-6262
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X 01027437 Indiana
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 01027437A Indiana
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 01027437A Indiana

Profile Details

NPI number 1780671883
LBN Legal business name Kiehm, Taegee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2005
Last updated Dec 17th, 2009 - about 15 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 1780671883 NPPES
Indiana Other 000000612786 BCBS
Indiana MEDICAID 100222770 BCBS

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