Viscardi, Patrick J

Viscardi, Patrick J is an individual health care provider with primary practice located at 611 E Douglas Rd Ste 108 , Mishawaka IN 46545-1464. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic Surgery Within the Head and Neck, Allopathic & Osteopathic Physicians / Surgery of the Hand, Allopathic & Osteopathic Physicians / Plastic Surgery. Allopathic & Osteopathic Physicians / Plastic Surgery is his primary health care specialty. Viscardi, Patrick J can be contacted via phone (574) 968-9100.

Contact Information

Primary practice address
611 E Douglas Rd Ste 108 Mishawaka IN 46545-1464
Phone: (574) 968-9100
Fax: (574) 968-3517
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery Within the Head and Neck 2082S0099X 01048709A Indiana
Allopathic & Osteopathic Physicians / Surgery of the Hand 2082S0105X 01048709A Indiana
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 01048709A Indiana

Profile Details

NPI number 1801893268
LBN Legal business name Viscardi, Patrick J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2005
Last updated Aug 8th, 2023 - about last year

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 1801893268 NPPES
Indiana MEDICAID 200168380

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