Abc Pediatriacs, Pc

LBN: Abc Pediatriacs, Pc
Abc Pediatriacs, Pc is an health care organization with primary practice located at 6750 Calumet Ave , Hammond IN 46324-1646. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Abc Pediatriacs, Pc can be contacted via phone (219) 803-0311, or through Johnson, Todd via phone (219) 662-3931.

Contact Information

Primary practice address
6750 Calumet Ave Hammond IN 46324-1646
Phone: (219) 803-0311
Fax: (219) 803-0217
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Todd
Phone: (219) 662-3931

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 01053391A Indiana

Profile Details

NPI number 1891011730
LBN Legal business name Abc Pediatriacs, Pc
DBA Doing business as
Authorized official Johnson, Todd
Entity Organization
Organization subpart 1 No
Enumeration date Apr 16th, 2010
Last updated Feb 15th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891011730 NPPES
Illinois MEDICAID 305761883
Illinois MEDICAID 200978100A

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