Northeast Indiana Genetic Counseling Center Inc

LBN: Northeast Indiana Genetic Counseling Center Inc
Northeast Indiana Genetic Counseling Center Inc is an health care organization with primary practice located at 11143 Parkview Plaza Dr Ste. 311, Fort Wayne IN 46845-1701. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Cytogenetic, Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.), Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) is the primary health care specialty. Northeast Indiana Genetic Counseling Center Inc can be contacted via phone (260) 482-3886, or through Bader, Patricia I via phone (260) 482-3886.

Contact Information

Primary practice address
11143 Parkview Plaza Dr Ste. 311 Fort Wayne IN 46845-1701
Fax: (260) 482-1910
Website:
Authorized official contact:
Name: Bader, Patricia I Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Cytogenetic 207SC0300X 01022953 Indiana
Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) 207SG0201X 01022953 Indiana
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 01022953 Indiana

Profile Details

NPI number 1881678860
LBN Legal business name Northeast Indiana Genetic Counseling Center Inc
DBA Doing business as
Authorized official Bader, Patricia I Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 2nd, 2005
Last updated May 27th, 2009 - 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 1881678860 NPPES
Indiana MEDICAID 100080650A
Indiana MEDICAID 100360290A

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