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Contact Information

GREGORIA B LANDICHO, MD
1501 WABASH
SUITE #202
MICHIGAN CITY, IN46360
 Phone: 219-877-1965
 Fax: 219-877-1066
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for GREGORIA B LANDICHO · (Female)

NPI Number 1407841216
Status Active
Credentials MD
Entity Individual
Enumeration date 09/19/2005
Last updated 11/23/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 01043004A
  • IN Medicaid 200046900
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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