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Contact Information

MIDS, LLC
3838 N MAIN ST STE 1C
MISHAWAKA, IN46545-3100
 Phone: 574-404-3980
 Fax: 574-931-8601
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Infectious Disease

207RI0200X 11 Physician/Internal Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for MIDS LLC · (Female)

NPI # 1366097016
Status Active
Credentials
Entity Individual
Enumeration date 08/08/2019
Last updated 08/08/2019 - About 7 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
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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