Mandich, Paul A
Mandich, Paul A is an sole proprietor health care provider with primary practice located at 2617-45Th Street , Highland IN 46322-2902. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Mandich, Paul A can be contacted via phone (219) 924-4456.Contact Information
Primary practice address
2617-45Th Street
Highland IN 46322-2902
Phone: (219) 924-4456
Fax: (219) 924-6342
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 08000721A | Indiana |
Profile Details
| NPI number | 1285659672 |
|---|---|
| LBN Legal business name | Mandich, Paul A |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 13th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1285659672 | NPPES |
| Indiana | Other | 000000090592 | ANTHEM BC/BS |
| Indiana | Other | 90000622 | ANTHEM BC/BS |
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