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Contact Information

NORTHWEST INDIANA PODIATRY CLINIC, LLC
3100 45TH AVE
HIGHLAND, IN46322
 Phone: 219-922-0510
 Fax: 219-923-4594
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
 

Assistant, Podiatric

211D00000X
 

Podiatrist

213E00000X 48 Podiatry
 

Primary Podiatric Medicine

213EP1101X 48 Podiatry
 

Public Health

213EP0504X 48 Podiatry
 

Radiology

213ER0200X 48 Podiatry
 

Surgery, Foot

213ES0131X 48 Podiatry
Indicates primary specialty

NPI Profile & details for NORTHWEST INDIANA PODIATRY CLINIC LLC · (Female)

NPI # 1609072677
Status Active
Credentials
Entity Individual
Enumeration date 06/26/2007
Last updated 11/12/2009 - About 17 years ago
Sole proprietor 1 Not specified
Identifiers
  • IN Medicaid 200124730C
  • IN Other 90001145 BCBS NUMBER
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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