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Contact Information

UNITED SURGEONS, LLC
4455 EDISON LAKES PKWY
MISHAWAKA, IN46545-1442
 Phone: 574-231-6199
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Institutional Pharmacy

3336I0012X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for UNITED SURGEONS, LLC

NPI # 1225441975
LBN Legal business name UNITED SURGEONS, LLC
Authorized official ALLISON TUCKER - (DIRECTOR OF PHARMACY)
Entity Organization
Organization subpart 1 No
Enumeration date 06/10/2014
Last updated 06/13/2014 - About 12 years ago
Identifiers
IN License # 60006215A
IN Medicaid 200968790A
IN Other 150177 MEDICARE PTAN
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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