Jm Weida Md Cj Sondgerath Md

LBN: Jm Weida Md Cj Sondgerath Md
Jm Weida Md Cj Sondgerath Md is an health care organization with primary practice located at 3005 Greenbush St , Lafayette IN 47904-2435. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Jm Weida Md Cj Sondgerath Md can be contacted via phone (765) 447-3103, or through Odle, Laura Jane via phone (765) 447-3103.

Contact Information

Primary practice address
3005 Greenbush St Lafayette IN 47904-2435
Fax: (765) 449-4782
Website:
Authorized official contact:
Name: Odle, Laura Jane

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X Indiana

Profile Details

NPI number 1629275243
LBN Legal business name Jm Weida Md Cj Sondgerath Md
DBA Doing business as
Authorized official Odle, Laura Jane
Entity Organization
Organization subpart 1 No
Enumeration date Jun 28th, 2007
Last updated May 19th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629275243 NPPES
Indiana Other 000000375905 GROUP ANTHEM NUMBER
Indiana MEDICAID 200325640A GROUP ANTHEM NUMBER

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