Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | 0700905 | IN |
Y | 222Z00000X | Podiatrist | 0700905 | IN |
NPI | 1003903378 |
---|---|
Provider Name | Dr. Derek A Besing |
First Address | Vincennes, IN 47591-0943 |
Second Address | Vincennes, IN 47591-1228 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/10/2006 |
Last Update Date | 05/12/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000540306 | ANTHEM (01) | IN |
000000540311 | ANTHEM (01) | IL |
0936130001 | DMERC ADMINISTRATOR (01) | |
200281800 | (05) | IN |
254060B | MEDICARE (01) | IN |
351576327 | SAGAMONE (01) | |
480030220 | MEDICARE RAILROAD (01) | |
648091 | HEALTHLINK (01) | |
U80428 | (02) |