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:
Health care specialties
| Specialty | Code | License # | 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 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407862212 | NPPES |
| Indiana | Other | 00000079447 | ANTHEM, BCBS |
| Indiana | MEDICAID | 200073080 | ANTHEM, BCBS |
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