Minich, Kimberly

Minich, Kimberly is an individual health care provider with primary practice located at 602 F St , La Porte IN 46350-5526. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Minich, Kimberly can be contacted via phone (219) 324-1377.

Contact Information

Primary practice address
602 F St La Porte IN 46350-5526
Phone: (219) 324-1377
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X PENDING Indiana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71003346A Indiana

Profile Details

NPI number 1043525595
LBN Legal business name Minich, Kimberly
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2010
Last updated Jan 13th, 2021 - about 5 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 1043525595 NPPES
Indiana Other P00999289 RAILROAD MEDICARE
Indiana MEDICAID 201004380 RAILROAD MEDICARE
Indiana Other 000000711729 RAILROAD MEDICARE

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