Wakim, Nicholas John

Wakim, Nicholas John is an individual health care provider with primary practice located at 5454 Hohman Ave , Hammond IN 46320-1931. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Wakim, Nicholas John can be contacted via phone (219) 932-2300.

Contact Information

Primary practice address
5454 Hohman Ave Hammond IN 46320-1931
Phone: (219) 932-2300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 02004619A Indiana

Profile Details

NPI number 1649577628
LBN Legal business name Wakim, Nicholas John
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2011
Last updated Jun 30th, 2015 - about 11 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 1649577628 NPPES
Indiana Other 02004619A IN STATE LICENSE
Indiana Other 02004619B IN STATE LICENSE
Indiana MEDICAID 201289430 IN STATE LICENSE

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