The Good Doctor, P.C.

LBN: The Good Doctor, P.C.
The Good Doctor, P.C. is an health care organization with primary practice located at 952 S Court St , Crown Point IN 46307-4848. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. The Good Doctor, P.C. can be contacted via phone (219) 226-0650, or through Stovall, Troy W via phone (219) 365-5405.

Contact Information

Primary practice address
952 S Court St Crown Point IN 46307-4848
Phone: (219) 226-0650
Fax: (219) 226-0618
Website:
Map and Directions
Authorized official contact:
Name: Stovall, Troy W Doctor of Osteopathy (DO)
Phone: (219) 365-5405

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 02001581A Indiana

Profile Details

NPI number 1124166038
LBN Legal business name The Good Doctor, P.C.
DBA Doing business as
Authorized official Stovall, Troy W Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 2nd, 2007
Last updated Nov 19th, 2010 - about 14 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 1124166038 NPPES
Indiana MEDICAID 100464880B

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