Phelan, Cynthia M

Phelan, Cynthia M is an individual health care provider with primary practice located at 1300 State St Suite 2E, La Porte IN 46350-3185. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Phelan, Cynthia M can be contacted via phone (219) 326-5700.

Contact Information

Primary practice address
1300 State St Suite 2E La Porte IN 46350-3185
Phone: (219) 326-5700
Fax: (219) 326-8131
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 01061246A Indiana

Profile Details

NPI number 1609890672
LBN Legal business name Phelan, Cynthia M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Aug 5th, 2008 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609890672 NPPES
Indiana Other 000000379262 ANTHEM, BCBS
Indiana MEDICAID 200284520 ANTHEM, BCBS

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