Delaine Llc
LBN: Delaine Llc
Delaine Llc is an health care organization with primary practice located at 1620 Country Club Rd Suite C, Valparaiso IN 46383-2251. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Plastic Surgery. Allopathic & Osteopathic Physicians / Ophthalmology is the primary health care specialty.
Delaine Llc can be contacted via phone (219) 464-7546, or through Van Putten, Douglas J via phone (219) 464-7546.
Contact Information
Primary practice address
1620 Country Club Rd Suite C
Valparaiso IN 46383-2251
Phone: (219) 464-7546
Fax: (866) 467-3763
Website:
Authorized official contact:
Name: Van Putten, Douglas J Doctor of Medicine (MD)
Phone: (219) 464-7546
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 01039408A | Indiana |
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | 01039408A | Indiana |
Profile Details
| NPI number | 1134518053 |
|---|---|
| LBN Legal business name | Delaine Llc |
| DBA Doing business as | |
| Authorized official | Van Putten, Douglas J Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 15th, 2015 |
| Last updated | Mar 25th, 2015 - about 9 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 | 1134518053 | NPPES |
| Indiana | MEDICAID | 201275700A, B, C | |
| Indiana | Other | 000000917194 |
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