Igolnikov, Alexander

Igolnikov, Alexander is an individual health care provider with primary practice located at 901 Lincolnway Suite 306, La Porte IN 46350-3430. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Igolnikov, Alexander can be contacted via phone (219) 324-0875.

Contact Information

Primary practice address
901 Lincolnway Suite 306 La Porte IN 46350-3430
Phone: (219) 324-0875
Fax: (219) 324-0827
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 36108351 Illinois
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 01071639A Indiana

Profile Details

NPI number 1437249182
LBN Legal business name Igolnikov, Alexander
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437249182 NPPES
Indiana Other 151020007 MEDICARE PTAN
Indiana MEDICAID 201096920 MEDICARE PTAN
Indiana Other 000000782162 MEDICARE PTAN
Indiana MEDICAID 036108351 MEDICARE PTAN

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