Landicho, Gregoria B

Landicho, Gregoria B is an individual health care provider with primary practice located at 1501 Wabash Suite #202, Michigan City IN 46360. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Landicho, Gregoria B can be contacted via phone (219) 877-1965.

Contact Information

Primary practice address
1501 Wabash Suite #202 Michigan City IN 46360
Phone: (219) 877-1965
Fax: (219) 877-1066
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 01043004A Indiana

Profile Details

NPI number 1407841216
LBN Legal business name Landicho, Gregoria B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2005
Last updated Nov 23rd, 2011 - about 15 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1407841216 NPPES
Indiana MEDICAID 200046900

Popular Providers