NORTH CENTRAL INDIANA MEDICAL CLINIC LLC MILFORD, IN

Contact Information

NORTH CENTRAL INDIANA MEDICAL CLINIC LLC

112 S MAIN ST
MILFORD, IN 46542-3006

Phone: 574-832-6246
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Gynecology	207VG0400X	16	Physician/Obstetrics & Gynecology

Indicates primary specialty

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NPI Profile & details for NORTH CENTRAL INDIANA MEDICAL CLINIC LLC · (Female)

NPI Number	`1730713017`
Status	Active
Credentials
Entity	Individual
Enumeration date	02/26/2020
Last updated	08/06/2020 - About 6 years ago
Sole proprietor ¹	Not specified
Identifiers	IN Other 1902-89-0718 OB/GYN
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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