Nidea, Luis Alvarez
Nidea, Luis Alvarez is an individual health care provider with primary practice located at 100 Navarre Pl Ste 4400 , South Bend IN 46601-1100. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Nidea, Luis Alvarez can be contacted via phone (574) 544-5580.Contact Information
Primary practice address
100 Navarre Pl Ste 4400
South Bend IN 46601-1100
Phone: (574) 544-5580
Fax: (574) 544-5579
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 01058943A | Indiana |
Profile Details
| NPI number | 1154311751 |
|---|---|
| LBN Legal business name | Nidea, Luis Alvarez |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 25th, 2005 |
| Last updated | Nov 30th, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154311751 | NPPES |
| Indiana | MEDICAID | 200478990 |
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