Durbin, Edward J
Durbin, Edward J is an individual health care provider with primary practice located at 714 N Michigan St , South Bend IN 46601-1035. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Durbin, Edward J can be contacted via phone (574) 647-7477.Contact Information
Primary practice address
714 N Michigan St
South Bend IN 46601-1035
Phone: (574) 647-7477
Fax: (574) 647-3655
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 01044831A | Indiana |
Profile Details
| NPI number | 1194715581 |
|---|---|
| LBN Legal business name | Durbin, Edward J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 26th, 2005 |
| Last updated | May 25th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194715581 | NPPES |
| Indiana | MEDICAID | 200105350 |
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