Sergiwa, Adam

Sergiwa, Adam is an sole proprietor health care provider with primary practice located at 9856 W 400 N , Michigan City IN 46360-2910. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Ambulatory Health Care Facilities / Primary Care, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Sergiwa, Adam can be contacted via phone (219) 878-0882.

Contact Information

Primary practice address
9856 W 400 N Michigan City IN 46360-2910
Phone: (219) 878-0882
Fax: (219) 878-0884
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 01049378A Indiana
Ambulatory Health Care Facilities / Primary Care 261QP2300X 01049378A Indiana
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 01049378A Indiana

Profile Details

NPI number 1740439496
LBN Legal business name Sergiwa, Adam
Credentials MD, MPH, MRCP,DCH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 17th, 2008
Last updated Jun 18th, 2024 - about 2 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 1740439496 NPPES
Indiana MEDICAID 200199090B
Indiana Other 000000305691

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