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Contact Information

COSMETIC AND PLASTIC SURGERY OF NORTHWEST INDIANA PC
7865 N GRAND BLVD
HOBART, IN46342-6665
 Phone: 219-945-0669
 Fax: 219-945-5669
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery

208200000X 02 Physician/General Surgery
 

Specialist

174400000X
 

Surgery of the Hand

2086S0105X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for COSMETIC AND PLASTIC SURGERY OF NORTHWEST INDIANA PC · (Female)

NPI Number 1609046317
Status Active
Credentials
Entity Individual
Enumeration date 03/10/2008
Last updated 06/30/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • License # 01043550A
  • IN License # 01043550A
  • IN Medicaid 200025060A
  • IN Medicaid 200253570L
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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