Medina, Loida S
Medina, Loida S is an individual health care provider with primary practice located at 1850 Pipestone Rd Suite 101, Benton Harbor MI 49022-2304. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Medina, Loida S can be contacted via phone (269) 925-6600.Contact Information
Primary practice address
1850 Pipestone Rd Suite 101
Benton Harbor MI 49022-2304
Phone: (269) 925-6600
Fax: (269) 925-9528
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 4301037695 | Michigan |
Profile Details
| NPI number | 1659312932 |
|---|---|
| LBN Legal business name | Medina, Loida S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 9th, 2006 |
| Last updated | Jul 9th, 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 | 1659312932 | NPPES |
| Michigan | Other | 0101100342 | BCBS PIN NUMBER |
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