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Contact Information

MISHAWAKA OSTEOPATHIC CLINIC
1207 LINCOLN WAY WEST
MISHAWAKA, IN46544
 Phone: 574-255-4733
 Fax: 574-255-4464
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for MISHAWAKA OSTEOPATHIC CLINIC · (Female)

NPI # 1336271253
Status Active
Credentials
Entity Individual
Enumeration date 03/09/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • IN License # 02000433
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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