Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0200X | Infectious Disease | 01039164A | IN |
NPI | 1053350405 |
---|---|
Provider Name | Dr. Christopher P Bunce |
First Address | Seymour, IN 47274-2363 |
Second Address | Seymour, IN 47274-2363 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/06/2006 |
Last Update Date | 22/06/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100102980 A | (05) | IN |
E96149 | (02) | IN |