Individual
DR. JOSEPH A DEJOAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7845 GRAND BLVD, HOBART, IN 46342-6665
(219) 945-4495
(219) 703-6701
Mailing address
7845 GRAND BLVD, HOBART, IN 46342-6665
(219) 945-4495
(219) 703-6701
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01046269A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000526797
ANTHEM BC/BS OF IN
IN
01
—
000000721908
ANTHEM
IN
05
—
200186360
—
IN
Enumeration date
03/20/2006
Last updated
04/18/2017
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