Indiana Physician Management-Logansport, Llc

LBN: Indiana Physician Management-Logansport, Llc
Indiana Physician Management-Logansport, Llc is an health care organization with primary practice located at 1101 Michigan Ave , Logansport IN 46947-1528. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as the primary health care specialty. Indiana Physician Management-Logansport, Llc can be contacted via phone (317) 870-0480, or through Bick, Stewart via phone (317) 338-5053.

Contact Information

Primary practice address
1101 Michigan Ave Logansport IN 46947-1528
Phone: (317) 870-0480
Fax: (317) 870-0499
Website:
Map and Directions
Authorized official contact:
Name: Bick, Stewart Doctor of Medicine (MD)
Phone: (317) 338-5053

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X

Profile Details

NPI number 1093091928
LBN Legal business name Indiana Physician Management-Logansport, Llc
DBA Doing business as
Authorized official Bick, Stewart Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 24th, 2011
Last updated Jan 11th, 2013 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093091928 NPPES
Indiana MEDICAID 201040470A

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