Eastgate Internal Medicine Ltd

LBN: Eastgate Internal Medicine Ltd
Eastgate Internal Medicine Ltd is an health care organization with primary practice located at 1686 Colfax Ave , Benton Harbor MI 49022-7355. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty. Eastgate Internal Medicine Ltd can be contacted via phone (269) 925-8842, or through Jabez, Jegan via phone (269) 925-8842.

Contact Information

Primary practice address
1686 Colfax Ave Benton Harbor MI 49022-7355
Phone: (269) 925-8842
Fax: (269) 925-8847
Website:
Map and Directions
Authorized official contact:
Name: Jabez, Jegan Doctor of Medicine (MD)
Phone: (269) 925-8842

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X 4301064652 Michigan

Profile Details

NPI number 1750530473
LBN Legal business name Eastgate Internal Medicine Ltd
DBA Doing business as
Authorized official Jabez, Jegan Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 18th, 2008
Last updated Sep 18th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1750530473 NPPES
Other 1073694006 NPI NUMBER-TYPE I
Other 4301064652 NPI NUMBER-TYPE I
Other 1101111252 NPI NUMBER-TYPE I
MEDICAID 415194310 NPI NUMBER-TYPE I

Popular Providers