Michiana Ob/Gyn

LBN: Allied Physicians Of Michiana, Llc
Michiana Ob/Gyn is an health care organization with primary practice located at 515 N Lafayette Blvd , South Bend IN 46601-1003. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as the primary health care specialty. Allied Physicians Of Michiana, Llc can be contacted via phone (574) 232-2037, or through Roussarie, Shery A. via phone (574) 251-2100.

Contact Information

Primary practice address
515 N Lafayette Blvd South Bend IN 46601-1003
Phone: (574) 232-2037
Fax: (574) 232-1420
Website:
Map and Directions
Authorized official contact:
Name: Roussarie, Shery A.
Phone: (574) 251-2100

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X

Profile Details

NPI number 1689909848
LBN Legal business name Allied Physicians Of Michiana, Llc
DBA Doing business as Michiana Ob/Gyn
Authorized official Roussarie, Shery A.
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 6th, 2009
Last updated Dec 29th, 2017 - about 7 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 1689909848 NPPES
Indiana MEDICAID 200962980B

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