Mauck, James P

Mauck, James P is an individual health care provider with primary practice located at 2405 West Lexington Avenue , Elkhart IN 46514-1417. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics, which is considered as his primary health care specialty. Mauck, James P can be contacted via phone (574) 524-7575.

Contact Information

Primary practice address
2405 West Lexington Avenue Elkhart IN 46514-1417
Phone: (574) 524-7575
Fax: (574) 524-7576
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics 207VX0000X 01035682 Indiana

Profile Details

NPI number 1467480996
LBN Legal business name Mauck, James P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2006
Last updated May 1st, 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 1467480996 NPPES
Indiana Other 000000082179 ANTHEM BLUE CROSS
Indiana MEDICAID 100326890 ANTHEM BLUE CROSS
Indiana Other 15432 ANTHEM BLUE CROSS

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