Bjonback, Caroline E

Bjonback, Caroline E is an individual health care provider with primary practice located at 400 Legacy Plz W , La Porte IN 46350-5296. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Bjonback, Caroline E can be contacted via phone (219) 326-1775.

Contact Information

Primary practice address
400 Legacy Plz W La Porte IN 46350-5296
Phone: (219) 326-1775
Fax: (219) 326-1951
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01044334 Indiana

Profile Details

NPI number 1407862212
LBN Legal business name Bjonback, Caroline E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2006
Last updated Dec 23rd, 2014 - about 10 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 1407862212 NPPES
Indiana Other 00000079447 ANTHEM, BCBS
Indiana MEDICAID 200073080 ANTHEM, BCBS

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