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Contact Information

KNOX-WINAMAC COMM. HLTH CTRS, INC.
105 N. BROADWAY
SAN PIERRE, IN46374
 Phone: 219-828-3300
 Fax: 219-828-3500
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for KNOX WINAMAC COMM HLTH CTRS INC · (Female)

NPI # 1184922833
Status Active
Credentials
Entity Individual
Enumeration date 03/04/2011
Last updated 03/04/2011 - About 15 years ago
Sole proprietor 1 Not specified
Identifiers
  • IN License # 01021497A
  • IN Medicaid 100210550A
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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