National Provider Identifier Database

MERRILLVILLE CLINIC PC
Gynecology

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


Contact Information

MERRILLVILLE CLINIC PC
7899 TAFT ST
MERRILLVILLE, IN46410-5284
Phone: 219-769-4333
Fax:
Website:
Specialty Taxonomy Code
* Gynecology 207VG0400X

* Indicates primary specialty

NPI Profile & details for MERRILLVILLE CLINIC PC

NPI Number 1972650950
Legal business name
LBN
MERRILLVILLE CLINIC PC
Authorized official KELLEY RAMSEY - (BILLING MANAGER)
Entity Organization
Organization subpart No
Enumeration date 01/04/2007
Last updated 01/04/2012 - About 14 years ago
Sole proprietor1 Not specified
Identifiers
  • IN License #: 01027935
  • IN Medicaid: 100468160A

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 MERRILLVILLE CLINIC PC

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