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
Phone: (219) 945-0669
Fax: (219) 945-5669
Website:
Authorized official contact:
Name: Malczewski, Michael Craig Doctor of Medicine (MD)
Phone: (219) 945-0669
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1609046317 | NPPES |
Indiana | MEDICAID | 200025060A | |
Indiana | MEDICAID | 200253570L |
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