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Contact Information

MISHAWAKA OSTEOPATHIC CLINIC
1207 LINCOLN WAY WEST
MISHAWAKA, IN46544
 Phone: 574-255-4733
 Fax: 574-255-4464
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for MISHAWAKA OSTEOPATHIC CLINIC

NPI # 1336271253
LBN Legal business name MISHAWAKA OSTEOPATHIC CLINIC
Authorized official MAX HELMAN - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/09/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
IN License # 02000433
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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