Bonaventura Reproductive Medicine
LBN: Bonaventura Reproductive Medicine
Bonaventura Reproductive Medicine is an health care organization with primary practice located at 11725 N Illinois St Ste 345, Carmel IN 46032-3008. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Reproductive Endocrinology, Allopathic & Osteopathic Physicians / Gynecology. Allopathic & Osteopathic Physicians / Reproductive Endocrinology is the primary health care specialty.
Bonaventura Reproductive Medicine can be contacted via phone (317) 814-4570, or through Bonaventura, Leo via phone (317) 814-4570.
Contact Information
Primary practice address
11725 N Illinois St Ste 345
Carmel IN 46032-3008
Phone: (317) 814-4570
Fax: (317) 814-4517
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Reproductive Endocrinology | 207VE0102X | ||
| Allopathic & Osteopathic Physicians / Gynecology | 207VG0400X |
Profile Details
| NPI number | 1245442177 |
|---|---|
| LBN Legal business name | Bonaventura Reproductive Medicine |
| DBA Doing business as | |
| Authorized official | Bonaventura, Leo Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 4th, 2007 |
| Last updated | Sep 10th, 2010 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245442177 | NPPES |
| Indiana | Other | 000000328110 | ANTHEM |
| Indiana | Other | 000000580355 | ANTHEM |
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