NPI 1063168474
Michael Needham
Practice location
- Address
- 1809 Visscher Dr, Elkhart, IN 46514-6505
- Phone
- (574) 336-6925
- Mailing address
- 1809 Visscher Dr APT 6, Elkhart, IN 46514-6507
Registered specialties
Community Health Worker
Primary
Registry record
- NPI
- 1063168474
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 24 Feb 2022
- Record last updated
- 24 Feb 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.