Michiana Gastroenterology, Inc

LBN: Michiana Gastroenterology, Inc
Michiana Gastroenterology, Inc is an health care organization with primary practice located at 17501 Generations Dr , South Bend IN 46635-1589. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as the primary health care specialty. Michiana Gastroenterology, Inc can be contacted via phone (574) 234-0049, or through Walker, Melissa A via phone (574) 234-0049.

Contact Information

Primary practice address
17501 Generations Dr South Bend IN 46635-1589
Phone: (574) 234-0049
Fax: (574) 251-2861
Website:
Map and Directions
Authorized official contact:
Name: Walker, Melissa A
Phone: (574) 234-0049

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X Indiana

Profile Details

NPI number 1821094525
LBN Legal business name Michiana Gastroenterology, Inc
DBA Doing business as
Authorized official Walker, Melissa A
Entity Organization
Organization subpart 1 No
Enumeration date Jun 27th, 2005
Last updated Jul 21st, 2022 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821094525 NPPES
Indiana MEDICAID 100222490A

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