Northwest Indiana Medical Consultants Pc

LBN: Northwest Indiana Medical Consultants Pc
Northwest Indiana Medical Consultants Pc is an health care organization with primary practice located at 5304 Broadway , Merrillville IN 46410-1555. The organization recently has only one registered license in Other Service Providers / Legal Medicine, which is considered as the primary health care specialty. Northwest Indiana Medical Consultants Pc can be contacted via phone (219) 985-2510, or through Jackson, Josette Cherie via phone (219) 985-2510.

Contact Information

Primary practice address
5304 Broadway Merrillville IN 46410-1555
Fax: (219) 985-2532
Website:
Authorized official contact:
Name: Jackson, Josette Cherie

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X 01046988 Indiana

Profile Details

NPI number 1841344165
LBN Legal business name Northwest Indiana Medical Consultants Pc
DBA Doing business as
Authorized official Jackson, Josette Cherie
Entity Organization
Organization subpart 1 No
Enumeration date Jan 23rd, 2007
Last updated Jun 25th, 2010 - about 15 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 1841344165 NPPES
Indiana MEDICAID 200148340B

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