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Contact Information

DIAGNOSTIC MEDICINE P.C.
113 N MICHIGAN ST
PLYMOUTH, IN46563-2132
 Phone: 574-250-3178
 Fax: 574-250-3178
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for DIAGNOSTIC MEDICINE PC · (Female)

NPI Number 1255439022
Status Active
Credentials
Entity Individual
Enumeration date 09/20/2006
Last updated 06/28/2023 - About 3 years ago
Sole proprietor 1 Not specified
Identifiers
  • IN License # 50004231
  • IN Medicaid 200281260
  • IN Other 110207420 MEDICARE RAILROAD
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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