Pantalena Filho, Luiz C
Pantalena Filho, Luiz C is an individual health care provider with primary practice located at 1815 E Ireland Rd , South Bend IN 46614-2845. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Pantalena Filho, Luiz C 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:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | 01073773A | Indiana |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 01073773A | Indiana |
Profile Details
| NPI number | 1225321722 |
|---|---|
| LBN Legal business name | Pantalena Filho, Luiz C |
| Credentials | MD, PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 17th, 2011 |
| Last updated | Apr 28th, 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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