Agee, John C
Agee, John C is an individual health care provider with primary practice located at 814 Laporte Ave , Valparaiso IN 46383-5860. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Agee, John C can be contacted via phone (812) 336-1690.Contact Information
Primary practice address
814 Laporte Ave
Valparaiso IN 46383-5860
Phone: (812) 336-1690
Fax: (812) 349-1311
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 02001176 | Indiana |
Profile Details
| NPI number | 1871530105 |
|---|---|
| LBN Legal business name | Agee, John C |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 2nd, 2006 |
| Last updated | Mar 7th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871530105 | NPPES |
| Indiana | Other | 02001176B | CSR |
| Indiana | MEDICAID | 100331050 | CSR |
| Indiana | Other | 02001176 | CSR |
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