Individual
JOHN T RICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 EAST BLVD, ELKHART, IN 46514-2483
(574) 523-3161
(574) 273-1137
Mailing address
PO BOX 1241, SOUTH BEND, IN 46624-1241
(855) 691-9888
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
4301054949
MI
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
01051834
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000082229
ANTHEM
IN
05
—
104174625
—
MI
05
—
200273638
—
IN
01
—
930094124
RAIL ROAD MEDICARE
IN
Enumeration date
03/08/2006
Last updated
04/28/2025
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