Allied Ent Specialty Center

LBN: Allied Physicians Of Michiana, Llc
Allied Ent Specialty Center is an health care organization with primary practice located at 6301 University Commons Suite 360, South Bend IN 46635-1571. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Allied Physicians Of Michiana, Llc can be contacted via phone (574) 232-4800, or through Roussarie, Shery A. via phone (574) 251-2100.

Contact Information

Primary practice address
6301 University Commons Suite 360 South Bend IN 46635-1571
Phone: (574) 232-4800
Fax: (574) 280-4810
Website:
Map and Directions
Authorized official contact:
Name: Roussarie, Shery A.
Phone: (574) 251-2100

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1366777369
LBN Legal business name Allied Physicians Of Michiana, Llc
DBA Doing business as Allied Ent Specialty Center
Authorized official Roussarie, Shery A.
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 8th, 2009
Last updated Oct 2nd, 2015 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366777369 NPPES
Indiana MEDICAID 200962980P
Indiana MEDICAID 200962980F

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