Gynecologic Oncology Of Northeast Indiana, Llc
LBN: Gynecologic Oncology Of Northeast Indiana, Llc
Gynecologic Oncology Of Northeast Indiana, Llc is an health care organization with primary practice located at 1818 Carew St Suite 250, Fort Wayne IN 46805-4788. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecologic Oncology, which is considered as the primary health care specialty.
Gynecologic Oncology Of Northeast Indiana, Llc can be contacted via phone (260) 437-4789, or through Podzielinski, Iwona via phone (260) 437-4789.
Contact Information
Primary practice address
1818 Carew St Suite 250
Fort Wayne IN 46805-4788
Phone: (260) 437-4789
Fax:
Website:
Authorized official contact:
Name: Podzielinski, Iwona Doctor of Medicine (MD)
Phone: (260) 437-4789
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gynecologic Oncology | 207VX0201X | Indiana |
Profile Details
| NPI number | 1295141380 |
|---|---|
| LBN Legal business name | Gynecologic Oncology Of Northeast Indiana, Llc |
| DBA Doing business as | |
| Authorized official | Podzielinski, Iwona Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 9th, 2014 |
| Last updated | Jun 21st, 2016 - about 8 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 | 1295141380 | NPPES |
| Indiana | MEDICAID | 201236690 | |
| Indiana | MEDICAID | 0107737 |
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