Individual
JOHN M DECELLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
611 E DOUGLAS RD, SUITE 309, MISHAWAKA, IN 46545-1467
(574) 472-6450
(574) 472-6474
Mailing address
PO BOX 6309, SOUTH BEND, IN 46660-6309
(574) 472-6700
(574) 472-6746
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01051161
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000215219
BCBS
IN
01
—
021236800
FEDERAL BLACK LUNG
IN
05
—
200228210A
—
IN
Enumeration date
06/04/2006
Last updated
12/04/2009
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