Phend, Michael James

Phend, Michael James is an individual health care provider with primary practice located at 5215 Holy Cross Parkway , Mishawaka IN 46545-1469. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Phend, Michael James can be contacted via phone (574) 237-7168.

Contact Information

Primary practice address
5215 Holy Cross Parkway Mishawaka IN 46545-1469
Phone: (574) 237-7168
Fax: (574) 472-6262
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 01030254A Indiana
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 01030254A Indiana

Profile Details

NPI number 1992731905
LBN Legal business name Phend, Michael James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2006
Last updated May 17th, 2012 - about 12 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 1992731905 NPPES
Indiana Other 000000626560 BCBS
Indiana MEDICAID 100112690 BCBS
Indiana Other 000000705131 BCBS
Indiana Other 000000527516 BCBS

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