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Contact Information

INTERNAL MEDICINE PRACTICE, LLC
1011 E. NATIONAL AVE
BRAZIL, IN47834
 Phone: 812-446-3278
 Fax: 812-446-3508
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for INTERNAL MEDICINE PRACTICE, LLC

NPI Number 1528387412
LBN Legal business name INTERNAL MEDICINE PRACTICE, LLC
Authorized official CAMILLO MENDOZA - (DOCTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 05/18/2010
Last updated 07/10/2015 - About 4 years ago
Identifiers
IN License # 01049692
IN License # 01049698
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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