Midwest Child And Adolescent Specialty Group, P.C.

LBN: Midwest Child And Adolescent Specialty Group, P.C.
Midwest Child And Adolescent Specialty Group, P.C. is an health care organization with primary practice located at 1310 E Davis Dr , Terre Haute IN 47802-4034. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology. Allopathic & Osteopathic Physicians / Pediatrics is the primary health care specialty. Midwest Child And Adolescent Specialty Group, P.C. can be contacted via phone (812) 232-7337, or through Dela Cruz, Pablito S. via phone (812) 232-7337.

Contact Information

Primary practice address
1310 E Davis Dr Terre Haute IN 47802-4034
Phone: (812) 232-7337
Fax: (812) 232-7338
Website:
Map and Directions
Authorized official contact:
Name: Dela Cruz, Pablito S. Doctor of Medicine (MD)
Phone: (812) 232-7337

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 01059798A Indiana
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology 2084N0402X 01059798A Indiana

Profile Details

NPI number 1588605349
LBN Legal business name Midwest Child And Adolescent Specialty Group, P.C.
DBA Doing business as
Authorized official Dela Cruz, Pablito S. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 10th, 2006
Last updated Dec 20th, 2011 - about 13 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 1588605349 NPPES
Indiana MEDICAID 200506860A

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