D G Reliable Anesthesia Pc

LBN: D G Reliable Anesthesia Pc
D G Reliable Anesthesia Pc is an health care organization with primary practice located at 800 Lincolnway Suite 301, La Porte IN 46350-3439. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. D G Reliable Anesthesia Pc can be contacted via phone (219) 324-2229, or through Goodman, Dale A via phone (219) 324-2229.

Contact Information

Primary practice address
800 Lincolnway Suite 301 La Porte IN 46350-3439
Phone: (219) 324-2229
Fax: (219) 324-2229
Website:
Map and Directions
Authorized official contact:
Name: Goodman, Dale A Doctor of Medicine (MD)
Phone: (219) 324-2229

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 01041200 Indiana

Profile Details

NPI number 1487824231
LBN Legal business name D G Reliable Anesthesia Pc
DBA Doing business as
Authorized official Goodman, Dale A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 7th, 2008
Last updated Dec 9th, 2009 - 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 1487824231 NPPES
Indiana MEDICAID 100165370

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