Fornalik, Hubert

Fornalik, Hubert is an individual health care provider with primary practice located at 5340 Holy Cross Pkwy , Mishawaka IN 46545-1470. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Gynecologic Oncology. Allopathic & Osteopathic Physicians / Gynecologic Oncology is his primary health care specialty. Fornalik, Hubert can be contacted via phone (574) 237-1328.

Contact Information

Primary practice address
5340 Holy Cross Pkwy Mishawaka IN 46545-1470
Phone: (574) 237-1328
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 37108 Iowa
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 01067752A Indiana
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X MT181806 Pennsylvania
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X 01067752A Indiana

Profile Details

NPI number 1255549812
LBN Legal business name Fornalik, Hubert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2007
Last updated May 20th, 2020 - about 4 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255549812 NPPES
Indiana MEDICAID 200978000

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