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Contact Information

ALLIED PHYSICIANS OF MICHIANA, LLC
6301 UNIVERSITY COMMONS
SUITE 100
SOUTH BEND, IN46635-1571
 Phone: 574-247-4667
 Fax: 574-271-4458
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for ALLIED PHYSICIANS OF MICHIANA, LLC

NPI Number 1023343282
LBN Legal business name ALLIED PHYSICIANS OF MICHIANA, LLC
Authorized official SHERY ROUSSARIE - (CEO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 10/06/2009
Last updated 01/27/2017 - About 9 years ago
Identifiers
IN Medicaid 200962980J
IN Medicaid 200962980Z
IN Medicaid 201236170
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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