National Provider Identifier Database

WESTSIDE GYNECOLOGY INC
Gynecology

A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.


Contact Information

WESTSIDE GYNECOLOGY, INC.
6920 PARKDALE PL
SUITE 100
INDIANAPOLIS, IN46254-5612
Phone: 317-329-7177
Fax: 317-329-7180
Website:
Specialty Taxonomy Code
* Gynecology 207VG0400X

* Indicates primary specialty

NPI Profile & details for WESTSIDE GYNECOLOGY, INC.

NPI Number 1487741377
Legal business name
LBN
WESTSIDE GYNECOLOGY, INC.
Authorized official JOSUE VILLALTA - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 10/10/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • IN License #: 01029614A
  • IN Other: 000000093399 BLUE SHIELD NUMBER

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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