Mbianda, Christiane Nwawock

Mbianda, Christiane Nwawock is an sole proprietor health care provider with primary practice located at 710 Park Pl , Mishawaka IN 46545-3519. She recently has 3 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is her primary health care specialty. Mbianda, Christiane Nwawock can be contacted via phone (574) 273-6787.

Contact Information

Primary practice address
710 Park Pl Mishawaka IN 46545-3519
Phone: (574) 273-6787
Fax: (574) 968-7160
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X Wisconsin
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 01075238A Indiana
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 01075238A Indiana

Profile Details

NPI number 1255656138
LBN Legal business name Mbianda, Christiane Nwawock
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 2nd, 2010
Last updated Apr 2nd, 2020 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255656138 NPPES
Indiana MEDICAID 201291860

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