Individual
PHILIP D DIBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
500 ARCADE AVE STE 210, ELKHART, IN 46514-2485
(574) 389-5656
(574) 523-7891
Mailing address
3245 HEALTH DR STE 100, GRANGER, IN 46530-1380
(574) 647-2129
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71009192A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
236040355
MEDICARE PTAN
IN
05
—
300029230
—
IN
Enumeration date
06/19/2019
Last updated
01/23/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us