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NPI Profile for LAKESHORE BONE JOINT INSTITUTE PC in PORTAGE, IN.
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Specialist |
174400000X | |||
Anesthesiology |
207L00000X | 79 | Physician/Addiction Medicine | |
Foot and Ankle Surgery |
207XX0004X | 02 | Physician/General Surgery | |
Hand Surgery |
207XS0106X | 02 | Physician/General Surgery | |
Interventional Pain Medicine |
208VP0014X | 09 | Physician/Interventional Pain Management | |
Neurological Surgery |
207T00000X | 02 | Physician/General Surgery | |
Orthopaedic Surgery |
207X00000X | 02 | Physician/General Surgery | |
Orthopaedic Surgery of the Spine |
207XS0117X | 02 | Physician/General Surgery | |
Pain Medicine |
207LP2900X | 05 | Physician/Anesthesiology | |
Pain Medicine |
208VP0000X | 72 | Physician/Pain Management | |
Podiatrist |
213E00000X | 48 | Podiatry | |
Sports Medicine |
207XX0005X | 02 | Physician/General Surgery | |
Surgery, Foot & Ankle |
213ES0103X | 48 | Podiatry |
| NPI Number | 1194999896 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 04/15/2008 | |
| Last updated | 08/15/2024 - More than a year ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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LAKESHORE BONE & JOINT INSTITUTE, PC
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LAKESHORE BONE & JOINT INSTITUTE, PC