Pamintuan, Alfredo

Pamintuan, Alfredo is an individual health care provider with primary practice located at 1507 Wabash St Suite 500A, Michigan City IN 46360-4300. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Pamintuan, Alfredo can be contacted via phone (219) 861-8661.

Contact Information

Primary practice address
1507 Wabash St Suite 500A Michigan City IN 46360-4300
Phone: (219) 861-8661
Fax: (219) 861-8789
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 01043912A Indiana

Profile Details

NPI number 1902876444
LBN Legal business name Pamintuan, Alfredo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2006
Last updated Mar 11th, 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 1902876444 NPPES
Indiana Other 000000347070 ANTHEM
Indiana MEDICAID 200045890 ANTHEM

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