Mendelowitz, David Samuel

Mendelowitz, David Samuel is an individual health care provider with primary practice located at 1300 State Street Suite 2C, La Porte IN 46350-3134. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Mendelowitz, David Samuel can be contacted via phone (219) 325-0152.

Contact Information

Primary practice address
1300 State Street Suite 2C La Porte IN 46350-3134
Fax: (219) 325-8621
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 01030941A Indiana

Profile Details

NPI number 1588678940
LBN Legal business name Mendelowitz, David Samuel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2006
Last updated Feb 5th, 2010 - about 15 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 1588678940 NPPES
Indiana MEDICAID 100163770

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