Mid State Logansport Ed Physicians

LBN: Mid State Logansport Ed Physicians
Mid State Logansport Ed Physicians is an health care organization with primary practice located at 1101 Michigan Ave , Logansport IN 46947-1528. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as the primary health care specialty. Mid State Logansport Ed Physicians can be contacted via phone (574) 753-1475, or through Stone, Eddie M via phone (214) 712-2000.

Contact Information

Primary practice address
1101 Michigan Ave Logansport IN 46947-1528
Phone: (574) 753-1475
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Stone, Eddie M Doctor of Medicine (MD)
Phone: (214) 712-2000

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X

Profile Details

NPI number 1831233287
LBN Legal business name Mid State Logansport Ed Physicians
DBA Doing business as
Authorized official Stone, Eddie M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 19th, 2007
Last updated Dec 8th, 2010 - about 14 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1831233287 NPPES
Indiana MEDICAID 200869800A
Indiana Other 000000514965

Popular Providers