Paul Mitchel De Guzman
Contractor • Indianapolis, IN
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Paul Mitchel De Guzman has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Paul Mitchel De Guzman was a registered Contractor practicing in Indianapolis, IN. Throughout an active medical career spanning 16 years, Paul Mitchel De Guzman provided care at the practice location at 5980 W 71ST ST until profile deactivation on 2024-04-10.
Practice Location & Contact Primary Location
5980 W 71st St
Ste. 102
Indianapolis, IN 462782711
Specialty Benchmarks & Practice Insights
Comparative analytics for Contractor in Indianapolis, IN
Practicing in Indianapolis, IN (338 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 171W00000X
A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Contractor
Contractor
Contractor
Contractor
Contractor
Physical Therapist
Physical Therapist
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on April 10, 2024
Registered at 504 OWLSBURY DR STE 102, PERKASIE, PA 189444434 (Tel: 8453447342)
Registered at 504 OWLSBURY DR STE 102, PERKASIE, PA 189444434 (Tel: 8453447342)
NPI status registered as active in NPPES database
Registered at 5980 W 71ST ST, STE. 102, INDIANAPOLIS, IN 462782711 (Tel: 3173880800)
Registered at 5980 W 71ST ST, STE. 102, INDIANAPOLIS, IN 462782711 (Tel: 3173880800)
Recorded as PAUL MITCHEL DE GUZMAN
Contractor (License #029749-1 in NY)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
5980 W 71st St, Ste. 102
Indianapolis, IN 462782711
Phone: 3173880800
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