National Provider Identifier Database

NORTH CENTRAL INDIANA MEDICAL CLINIC LLC
Gynecology

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


Contact Information

NORTH CENTRAL INDIANA MEDICAL CLINIC LLC
112 S MAIN ST
MILFORD, IN46542-3006
Phone: 574-832-6246
Fax:
Website:
Specialty Taxonomy Code
* Gynecology 207VG0400X

* Indicates primary specialty

NPI Profile & details for NORTH CENTRAL INDIANA MEDICAL CLINIC LLC

NPI Number 1730713017
Legal business name
LBN
NORTH CENTRAL INDIANA MEDICAL CLINIC LLC
Authorized official MICHELLE WILSON - (PRACTICE MANAGER)
Entity Organization
Organization subpart No
Enumeration date 02/26/2020
Last updated 08/06/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • IN Other: 1902-89-0718 OB/GYN

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.

Reviews for NORTH CENTRAL INDIANA MEDICAL CLINIC LLC

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