Caruso, Joseph Michael

Caruso, Joseph Michael is an individual health care provider with primary practice located at 4630 Vistula Rd , Mishawaka IN 46544-4000. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Medical Toxicology, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Caruso, Joseph Michael can be contacted via phone (574) 647-1900.

Contact Information

Primary practice address
4630 Vistula Rd Mishawaka IN 46544-4000
Phone: (574) 647-1900
Fax: (574) 647-7206
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Medical Toxicology 207PT0002X 01035309A Indiana
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01035309A Indiana

Profile Details

NPI number 1598763203
LBN Legal business name Caruso, Joseph Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Apr 28th, 2023 - about 2 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 1598763203 NPPES
Indiana MEDICAID 100090740

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