Special Medicine Clinic

LBN: Special Medicine Clinic
Special Medicine Clinic is an health care organization with primary practice located at 1501 Wabash St Ste 303 , Michigan City IN 46360-4355. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Special Medicine Clinic can be contacted via phone (219) 874-8711, or through Gupta, Bina via phone (219) 874-8711.

Contact Information

Primary practice address
1501 Wabash St Ste 303 Michigan City IN 46360-4355
Phone: (219) 874-8711
Fax: (219) 874-9075
Website:
Map and Directions
Authorized official contact:
Name: Gupta, Bina
Phone: (219) 874-8711

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 01029292A Indiana

Profile Details

NPI number 1962640821
LBN Legal business name Special Medicine Clinic
DBA Doing business as
Authorized official Gupta, Bina
Entity Organization
Organization subpart 1 No
Enumeration date Jan 30th, 2009
Last updated Jan 30th, 2009 - about 17 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 1962640821 NPPES
Kentucky Other 000000111817 BLUE CROSS BLUE SHIELD

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