Cosmetic And Plastic Surgery Of Northwest Indiana Pc

LBN: Cosmetic And Plastic Surgery Of Northwest Indiana Pc
Cosmetic And Plastic Surgery Of Northwest Indiana Pc is an health care organization with primary practice located at 7865 N Grand Blvd , Hobart IN 46342-6665. The organization recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Plastic Surgery, Allopathic & Osteopathic Physicians / Surgery of the Hand. Allopathic & Osteopathic Physicians / Plastic Surgery is the primary health care specialty. Cosmetic And Plastic Surgery Of Northwest Indiana Pc can be contacted via phone (219) 945-0669, or through Malczewski, Michael Craig via phone (219) 945-0669.

Contact Information

Primary practice address
7865 N Grand Blvd Hobart IN 46342-6665
Fax: (219) 945-5669
Website:
Authorized official contact:
Name: Malczewski, Michael Craig Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 01043550A Indiana
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 01043550A
Allopathic & Osteopathic Physicians / Surgery of the Hand 2086S0105X 01043550A

Profile Details

NPI number 1609046317
LBN Legal business name Cosmetic And Plastic Surgery Of Northwest Indiana Pc
DBA Doing business as
Authorized official Malczewski, Michael Craig Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 10th, 2008
Last updated Jun 30th, 2008 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609046317 NPPES
Indiana MEDICAID 200025060A
Indiana MEDICAID 200253570L

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