Gatzimos, Alexander C

Gatzimos, Alexander C is an individual health care provider with primary practice located at 212 West Edison Road Suite B, Mishawaka IN 46545. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Gatzimos, Alexander C can be contacted via phone (574) 222-2359.

Contact Information

Primary practice address
212 West Edison Road Suite B Mishawaka IN 46545
Phone: (574) 222-2359
Fax: (574) 222-2365
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 01036818A Indiana

Profile Details

NPI number 1548476120
LBN Legal business name Gatzimos, Alexander C
Credentials M.D.,JD
Entity Individual
Sole proprietor 1 No
Enumeration date May 14th, 2007
Last updated Jul 25th, 2016 - about 8 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 1548476120 NPPES
Indiana MEDICAID 100063840B

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