Northwest Indiana Podiatry Clinic, Llc

LBN: Northwest Indiana Podiatry Clinic, Llc
Northwest Indiana Podiatry Clinic, Llc is an health care organization with primary practice located at 9134 Columbia Ave Suite B, Munster IN 46321-2907. The organization recently has 8 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Assistant, Podiatric, Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Public Medicine, Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, Podiatric Medicine & Surgery Service Providers / Radiology, Podiatric Medicine & Surgery Service Providers / Sports Medicine, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Foot Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is the primary health care specialty. Northwest Indiana Podiatry Clinic, Llc can be contacted via phone (219) 836-3112, or through Massuda, Fortunee via phone (773) 233-3800.

Contact Information

Primary practice address
9134 Columbia Ave Suite B Munster IN 46321-2907
Fax: (219) 836-3109
Website:
Authorized official contact:
Name: Massuda, Fortunee Doctor of Podiatric Medicine (DPM)

Profile Details

NPI number 1932305117
LBN Legal business name Northwest Indiana Podiatry Clinic, Llc
DBA Doing business as
Authorized official Massuda, Fortunee Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 25th, 2007
Last updated Nov 12th, 2009 - 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 1932305117 NPPES
Indiana MEDICAID 200124730E
Indiana Other 90001145

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