Mansfield, Linda A

Mansfield, Linda A is an individual health care provider with primary practice located at 1815 E Ireland Rd , South Bend IN 46614-2845. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is her primary health care specialty. Mansfield, Linda A can be contacted via phone (574) 647-1700.

Contact Information

Primary practice address
1815 E Ireland Rd South Bend IN 46614-2845
Phone: (574) 647-1700
Fax: (574) 647-7572
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01069249A Indiana
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 01069249A Indiana

Profile Details

NPI number 1629075957
LBN Legal business name Mansfield, Linda A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2005
Last updated Sep 24th, 2024 - about 2 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 1629075957 NPPES
Indiana MEDICAID 201020040

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