Marcus Wigutow, M.D., Inc.
LBN: Marcus Wigutow, M.D., Inc.
Marcus Wigutow, M.D., Inc. is an health care organization with primary practice located at 9120 Connecticut Dr Suite E, Merrillville IN 46410-7172. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as the primary health care specialty.
Marcus Wigutow, M.D., Inc. can be contacted via phone (219) 769-5900, or through Wigutow, Marcus via phone (219) 769-5900.
Contact Information
Primary practice address
9120 Connecticut Dr Suite E
Merrillville IN 46410-7172
Phone: (219) 769-5900
Fax: (219) 769-5987
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 01022387B | Indiana |
Profile Details
| NPI number | 1790966810 |
|---|---|
| LBN Legal business name | Marcus Wigutow, M.D., Inc. |
| DBA Doing business as | |
| Authorized official | Wigutow, Marcus Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 16th, 2007 |
| Last updated | Nov 19th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790966810 | NPPES |
| Illinois | MEDICAID | 1320159050 | |
| Illinois | Other | 91106545 | |
| Illinois | Other | 000000095335 | |
| Illinois | Other | 03166600 | |
| Illinois | Other | 137824 |
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