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Contact Information

EDUARDO CAMPOS HERNANDEZ, PT
202 LINCOLNWAY E STE 100
MISHAWAKA, IN46544-2079
 Phone: 574-647-2560
 Fax: 574-647-2563
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
 

Orthopedic

2251X0800X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for EDUARDO CAMPOS HERNANDEZ · (Male)

NPI Number 1073483715
Status Active
Credentials PT (Physical Therapist)
Entity Individual
Enumeration date 11/07/2025
Last updated 03/20/2026 - About 3 months ago
Sole proprietor 1 No
Identifiers
  • IN License # 05016233A
  • IN Medicaid 300124715
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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