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Contact Information

ALLIED PHYSICIANS OF MICHIANA, LLC
611 E DOUGLAS RD STE 308
MISHAWAKA, IN46545-1465
 Phone: 574-236-1888
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vascular Surgery

2086S0129X 76 Physician/Peripheral Vascular Disease
Indicates primary specialty

NPI Profile & details for ALLIED PHYSICIANS OF MICHIANA, LLC

NPI # 1154832178
LBN Legal business name ALLIED PHYSICIANS OF MICHIANA, LLC
Authorized official SHERY ROUSSARIE - (CEO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 10/17/2017
Last updated 06/16/2018 - About 8 years ago
Identifiers n/a
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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