New Balance Occupational Medicine, Llc
LBN: New Balance Occupational Medicine, Llc
New Balance Occupational Medicine, Llc is an health care organization with primary practice located at 1574 E 85Th Ave , Merrillville IN 46410. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Occupational Medicine. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
New Balance Occupational Medicine, Llc can be contacted via phone (219) 769-4400, or through Ibekie, Oranu G via phone (219) 769-4400.
Contact Information
Primary practice address
1574 E 85Th Ave
Merrillville IN 46410
Phone: (219) 769-4400
Fax: (219) 795-1419
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | Indiana | |
| Allopathic & Osteopathic Physicians / Addiction Medicine | 207QA0401X | ||
| Allopathic & Osteopathic Physicians / Occupational Medicine | 2083X0100X | Indiana |
Profile Details
| NPI number | 1184921652 |
|---|---|
| LBN Legal business name | New Balance Occupational Medicine, Llc |
| DBA Doing business as | |
| Authorized official | Ibekie, Oranu G |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 18th, 2011 |
| Last updated | Apr 24th, 2019 - about 6 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 | 1184921652 | NPPES |
| Indiana | MEDICAID | 201016650A |
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