Fairhaven Obstetrics & Gynecology, Inc

LBN: Fairhaven Obstetrics & Gynecology, Inc
Fairhaven Obstetrics & Gynecology, Inc is an health care organization with primary practice located at 1111 Lighthouse Lane , Goshen IN 46526-3824. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Physician Assistants & Advanced Practice Nursing Providers / Women's Health, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is the primary health care specialty. Fairhaven Obstetrics & Gynecology, Inc can be contacted via phone (574) 533-0348, or through Borkowski, Gayle J via phone (574) 533-0348.

Contact Information

Primary practice address
1111 Lighthouse Lane Goshen IN 46526-3824
Phone: (574) 533-0348
Fax: (574) 533-0277
Website:
Map and Directions
Authorized official contact:
Name: Borkowski, Gayle J Doctor of Medicine (MD)
Phone: (574) 533-0348

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X

Profile Details

NPI number 1437183605
LBN Legal business name Fairhaven Obstetrics & Gynecology, Inc
DBA Doing business as
Authorized official Borkowski, Gayle J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 11th, 2006
Last updated Jul 7th, 2009 - about 17 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 1437183605 NPPES
Indiana MEDICAID 100111950
Indiana Other CB5226

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