Provider Demographics
NPI:1275530362
Name:ARMSTRONG, DEBORAH JANE (MD)
Entity Type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:JANE
Last Name:ARMSTRONG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 E STATE ROAD 44
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:IN
Mailing Address - Zip Code:46131-7690
Mailing Address - Country:US
Mailing Address - Phone:317-736-0040
Mailing Address - Fax:317-736-9773
Practice Address - Street 1:18 E STATE ROAD 44
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:IN
Practice Address - Zip Code:46131-7690
Practice Address - Country:US
Practice Address - Phone:317-736-0040
Practice Address - Fax:317-736-9773
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-05
Last Update Date:2016-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01047155207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200263530Medicaid
INH11989Medicare UPIN
IN200263530Medicaid