Checkley, Lori L.

Checkley, Lori L. is an individual health care provider with primary practice located at 17231 Wilshire Dr , South Bend IN 46635-2068. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Checkley, Lori L. can be contacted via phone (269) 445-7295.

Contact Information

Primary practice address
17231 Wilshire Dr South Bend IN 46635-2068
Phone: (269) 445-7295
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301082974 Michigan
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X 01069750A Indiana
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01069750A Indiana

Profile Details

NPI number 1437152394
LBN Legal business name Checkley, Lori L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Aug 27th, 2022 - 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 1437152394 NPPES
Indiana Other 169380005 MEDICARE
Indiana Other 236040010 MEDICARE
Indiana MEDICAID 100325680 MEDICARE
Indiana MEDICAID 104736609 MEDICARE

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