Credi, Robert G.

Credi, Robert G. is an individual health care provider with primary practice located at 621 Memorial Dr Ste 502 , South Bend IN 46601-1075. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Credi, Robert G. can be contacted via phone (574) 647-5875.

Contact Information

Primary practice address
621 Memorial Dr Ste 502 South Bend IN 46601-1075
Phone: (574) 647-5875
Fax: (574) 647-5878
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 01044047A Indiana

Profile Details

NPI number 1013907781
LBN Legal business name Credi, Robert G.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2005
Last updated Jun 1st, 2022 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013907781 NPPES
Indiana MEDICAID 200078980
Indiana Other 236040415

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