Lake Park Clinic, P.C.

LBN: Lake Park Clinic, P.C.
Lake Park Clinic, P.C. is an health care organization with primary practice located at 1356 S Lake Park Ave , Hobart IN 46342-5964. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Lake Park Clinic, P.C. can be contacted via phone (219) 942-8518, or through Jordan, Christine via phone (219) 942-1422.

Contact Information

Primary practice address
1356 S Lake Park Ave Hobart IN 46342-5964
Phone: (219) 942-8518
Fax: (219) 947-2751
Website:
Map and Directions
Authorized official contact:
Name: Jordan, Christine
Phone: (219) 942-1422

Health care specialties

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

Profile Details

NPI number 1083810253
LBN Legal business name Lake Park Clinic, P.C.
DBA Doing business as
Authorized official Jordan, Christine
Entity Organization
Organization subpart 1 No
Enumeration date Jun 25th, 2007
Last updated Jun 13th, 2014 - about 10 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 1083810253 NPPES
Indiana Other 000000086604 BLUE CROSS BLUE SHIELD
Indiana Other 000000550461 BLUE CROSS BLUE SHIELD
Indiana MEDICAID 100159850A BLUE CROSS BLUE SHIELD

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