Mishawaka Clinic, P.C.

LBN: Mishawaka Clinic, P.C.
Mishawaka Clinic, P.C. is an health care organization with primary practice located at 303 S. Main St. Suite 212, Mishawaka IN 46544. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Mishawaka Clinic, P.C. can be contacted via phone (574) 254-0800, or through Reidy, James E. via phone (574) 254-0800.

Contact Information

Primary practice address
303 S. Main St. Suite 212 Mishawaka IN 46544
Phone: (574) 254-0800
Fax: (574) 254-0812
Website:
Map and Directions
Authorized official contact:
Name: Reidy, James E. Doctor of Medicine (MD)
Phone: (574) 254-0800

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1972776938
LBN Legal business name Mishawaka Clinic, P.C.
DBA Doing business as
Authorized official Reidy, James E. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 10th, 2008
Last updated Apr 8th, 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 1972776938 NPPES
Indiana Other 1497794010 NPI

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