Midwest Mobile Medical Group Pc

LBN: Midwest Mobile Medical Group Pc
Midwest Mobile Medical Group Pc is an health care organization with primary practice located at 2 Spectacle Dr , Valparaiso IN 46383-1053. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as the primary health care specialty. Midwest Mobile Medical Group Pc can be contacted via phone (219) 840-0345, or through Truchan, Jonathan via phone (219) 840-0345.

Contact Information

Primary practice address
2 Spectacle Dr Valparaiso IN 46383-1053
Phone: (219) 840-0345
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Truchan, Jonathan Doctor of Podiatric Medicine (DPM)
Phone: (219) 840-0345

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 07000937A Indiana

Profile Details

NPI number 1831511336
LBN Legal business name Midwest Mobile Medical Group Pc
DBA Doing business as
Authorized official Truchan, Jonathan Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 17th, 2014
Last updated May 28th, 2014 - about 10 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 1831511336 NPPES
Indiana MEDICAID 201213580A

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