Associates In Surgery, Pc

LBN: Associates In Surgery, Pc
Associates In Surgery, Pc is an health care organization with primary practice located at 3630 Willowcreek Rd Suite 3, Portage IN 46368-5075. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Associates In Surgery, Pc can be contacted via phone (219) 759-4577, or through Cooper, Jac A via phone (219) 759-4577.

Contact Information

Primary practice address
3630 Willowcreek Rd Suite 3 Portage IN 46368-5075
Phone: (219) 759-4577
Fax: (219) 759-3564
Website:
Map and Directions
Authorized official contact:
Name: Cooper, Jac A Doctor of Medicine (MD)
Phone: (219) 759-4577

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X

Profile Details

NPI number 1245312586
LBN Legal business name Associates In Surgery, Pc
DBA Doing business as
Authorized official Cooper, Jac A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 19th, 2006
Last updated Aug 19th, 2009 - about 16 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 1245312586 NPPES
Indiana MEDICAID 100209130B

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