Landicho, Gregoria B
Landicho, Gregoria B is an individual health care provider with primary practice located at 1501 Wabash Suite #202, Michigan City IN 46360. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Landicho, Gregoria B can be contacted via phone (219) 877-1965.Contact Information
Primary practice address
1501 Wabash Suite #202
Michigan City IN 46360
Phone: (219) 877-1965
Fax: (219) 877-1066
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 01043004A | Indiana |
Profile Details
| NPI number | 1407841216 |
|---|---|
| LBN Legal business name | Landicho, Gregoria B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 19th, 2005 |
| Last updated | Nov 23rd, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407841216 | NPPES |
| Indiana | MEDICAID | 200046900 |
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