Mishawaka Orthopedics And Sports Medicine P C
LBN: Mishawaka Orthopedics And Sports Medicine P C
Mishawaka Orthopedics And Sports Medicine P C is an health care organization with primary practice located at 270 E Day Rd Ste 200, Mishawaka IN 46545-3444. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as the primary health care specialty.
Mishawaka Orthopedics And Sports Medicine P C can be contacted via phone (574) 271-5151, or through Ware, Charles Mcdonald via phone (574) 271-5151.
Contact Information
Primary practice address
270 E Day Rd Ste 200
Mishawaka IN 46545-3444
Phone: (574) 271-5151
Fax: (574) 271-5175
Website:
Authorized official contact:
Name: Ware, Charles Mcdonald Doctor of Medicine (MD)
Phone: (574) 271-5151
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | 50003916A | Indiana |
Profile Details
| NPI number | 1578558458 |
|---|---|
| LBN Legal business name | Mishawaka Orthopedics And Sports Medicine P C |
| DBA Doing business as | |
| Authorized official | Ware, Charles Mcdonald Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 15th, 2005 |
| Last updated | Mar 17th, 2015 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578558458 | NPPES |
| Indiana | MEDICAID | 200248370A | |
| Indiana | Other | CE8821 | |
| Indiana | Other | 000000104753 |
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