Wiarda, Howard Elvindo
Wiarda, Howard Elvindo is an individual health care provider with primary practice located at 100 Navarre Pl Ste 5500 , South Bend IN 46601-1172. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Therapeutic Radiology, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Wiarda, Howard Elvindo can be contacted via phone (574) 647-5200.Contact Information
Primary practice address
100 Navarre Pl Ste 5500
South Bend IN 46601-1172
Phone: (574) 647-5200
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Body Imaging | 2085B0100X | 01052406 | Indiana |
| Allopathic & Osteopathic Physicians / Therapeutic Radiology | 2085R0203X | 01052406 | Indiana |
| Allopathic & Osteopathic Physicians / Diagnostic Ultrasound | 2085U0001X | 01052406 | Indiana |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 01052406 | Indiana |
Profile Details
| NPI number | 1801881255 |
|---|---|
| LBN Legal business name | Wiarda, Howard Elvindo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 13th, 2005 |
| Last updated | Apr 6th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801881255 | NPPES |
| Indiana | Other | M16930802 | MEDICARE- BMG VEIN SPECIALISTS |
| Indiana | MEDICAID | 200261430 | MEDICARE- BMG VEIN SPECIALISTS |
| Indiana | Other | M16930802 | MEDICARE- BMG VEIN SPECIALISTS |
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