Advanced Internal Medicine Llc

LBN: Advanced Internal Medicine Llc
Advanced Internal Medicine Llc is an health care organization with primary practice located at 302 N Duke St , Peru IN 46970-1520. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Advanced Internal Medicine Llc can be contacted via phone (765) 472-3944, or through Quin, Gregory A via phone (765) 472-3944.

Contact Information

Primary practice address
302 N Duke St Peru IN 46970-1520
Phone: (765) 472-3944
Fax: (765) 472-3945
Website:
Map and Directions
Authorized official contact:
Name: Quin, Gregory A Doctor of Medicine (MD)
Phone: (765) 472-3944

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X 01045818 Indiana

Profile Details

NPI number 1124342407
LBN Legal business name Advanced Internal Medicine Llc
DBA Doing business as
Authorized official Quin, Gregory A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 16th, 2010
Last updated Nov 19th, 2013 - about 13 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 1124342407 NPPES
Indiana MEDICAID 200131050

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