Fang, Michael

Fang, Michael is an individual health care provider with primary practice located at 8733 W 400 N , Michigan City IN 46360-9330. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Fang, Michael can be contacted via phone (219) 803-4145.

Contact Information

Primary practice address
8733 W 400 N Michigan City IN 46360-9330
Phone: (219) 803-4145
Fax: (855) 502-1900
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X IN PROCESS Wisconsin
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 01065093 Indiana

Profile Details

NPI number 1619064672
LBN Legal business name Fang, Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 9th, 2006
Last updated Jan 10th, 2020 - about 6 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 1619064672 NPPES
Indiana Other 000000580377 ANTHEM, BCBS
Indiana MEDICAID 200920160 ANTHEM, BCBS

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