Northeast Indiana Colon Rectal Surgeons Pc

LBN: Northeast Indiana Colon Rectal Surgeons Pc
Northeast Indiana Colon Rectal Surgeons Pc is an health care organization with primary practice located at 11141 Parkview Plaza Dr Suite 310, Fort Wayne IN 46845-1701. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, which is considered as the primary health care specialty. Northeast Indiana Colon Rectal Surgeons Pc can be contacted via phone (260) 489-8898, or through Raiman, Paul J. via phone (260) 489-8898.

Contact Information

Primary practice address
11141 Parkview Plaza Dr Suite 310 Fort Wayne IN 46845-1701
Fax: (260) 373-4695
Website:
Authorized official contact:
Name: Raiman, Paul J. Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 50004032A Indiana

Profile Details

NPI number 1912998014
LBN Legal business name Northeast Indiana Colon Rectal Surgeons Pc
DBA Doing business as
Authorized official Raiman, Paul J. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 31st, 2005
Last updated Feb 28th, 2008 - about 16 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 1912998014 NPPES
Ohio MEDICAID 2053852

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