Petrungaro Plastic Surgery, Llc

LBN: Petrungaro Plastic Surgery, Llc
Petrungaro Plastic Surgery, Llc is an health care organization with primary practice located at 800 Macarthur Blvd Ste 21 , Munster IN 46321-2918. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as the primary health care specialty. Petrungaro Plastic Surgery, Llc can be contacted via phone (219) 836-1163, or through Petrungaro, Jason M via phone (219) 836-1163.

Contact Information

Primary practice address
800 Macarthur Blvd Ste 21 Munster IN 46321-2918
Fax:
Website:
Authorized official contact:
Name: Petrungaro, Jason M Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X 01074460A Indiana

Profile Details

NPI number 1639577794
LBN Legal business name Petrungaro Plastic Surgery, Llc
DBA Doing business as
Authorized official Petrungaro, Jason M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 5th, 2014
Last updated May 8th, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639577794 NPPES
Indiana Other 914915 BCBS
Indiana Other 5410211 BCBS
Indiana Other 9183790 BCBS

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