Babchuk, George

Babchuk, George is an individual health care provider with primary practice located at 12800 Mississippi St Suite B201, Crown Point IN 46307-6900. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Babchuk, George can be contacted via phone (219) 663-7000.

Contact Information

Primary practice address
12800 Mississippi St Suite B201 Crown Point IN 46307-6900
Fax: (219) 663-8621
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01031717 Indiana

Profile Details

NPI number 1811991615
LBN Legal business name Babchuk, George
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2005
Last updated May 14th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811991615 NPPES
Indiana MEDICAID 100463680
Indiana Other 000000721904

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