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Contact Information

AHI MEDICAL ADDICTIONS CLINIC, LLC
3006 LINCOLNWAY E
MISHAWAKA, IN46544-3501
 Phone: 574-252-7233
 Fax: 844-361-2090
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction Medicine

207QA0401X 08 Physician/Family Practice
 

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for AHI MEDICAL ADDICTIONS CLINIC LLC · (Female)

NPI # 1457896896
Status Active
Credentials
Entity Individual
Enumeration date 12/20/2016
Last updated 09/01/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • IN License # BX2361145
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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