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Contact Information

WESTSIDE GYNECOLOGY, INC.
6920 PARKDALE PL
SUITE 100
INDIANAPOLIS, IN46254-5612
 Phone: 317-329-7177
 Fax: 317-329-7180
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gynecology

207VG0400X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for WESTSIDE GYNECOLOGY INC · (Female)

NPI # 1487741377
Status Active
Credentials
Entity Individual
Enumeration date 10/10/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • IN License # 01029614A
  • IN Other 000000093399 BLUE SHIELD NUMBER
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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