1538877972 NPI number — NWI MDVIP LLC

Table of content: (NPI 1538877972)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1538877972 NPI number — NWI MDVIP LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NWI MDVIP LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1538877972
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/14/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
9150 E 109TH AVE STE 2B
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CROWN POINT
Provider Business Mailing Address State Name:
IN
Provider Business Mailing Address Postal Code:
46307-7686
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
219-306-0752
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
9150 E 109TH AVE STE 2B
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CROWN POINT
Provider Business Practice Location Address State Name:
IN
Provider Business Practice Location Address Postal Code:
46307-7686
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
219-213-2947
Provider Business Practice Location Address Fax Number:
219-310-8175
Provider Enumeration Date:
11/14/2022

Additional Information

Authorized Official

Authorized Official Last Name:
JACOBUS
Authorized Official First Name:
BRENT
Authorized Official Middle Name:
A
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
219-306-0752

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 200380090 , issued by the state of ( IN ) . This identifiers is of the category "MEDICAID".
  • Identifier: 100200720 , issued by the state of ( IN ) . This identifiers is of the category "MEDICAID".




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