Misch, Paul

Misch, Paul is an individual health care provider with primary practice located at 714 N Michigan St , South Bend IN 46601-1035. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Misch, Paul can be contacted via phone (574) 647-7477.

Contact Information

Primary practice address
714 N Michigan St South Bend IN 46601-1035
Phone: (574) 647-7477
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301047052 Michigan
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01086774A Indiana

Profile Details

NPI number 1942277876
LBN Legal business name Misch, Paul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2006
Last updated Jun 1st, 2022 - about 3 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 1942277876 NPPES
Indiana Other 162520097 MEDICARE PTAN
Indiana MEDICAID 2571994 MEDICARE PTAN
Indiana MEDICAID 300057678 MEDICARE PTAN
Indiana Other 080F370780 MEDICARE PTAN

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