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MEDICCI KLINX INC. NPI 1043513294


NPI Information

NPI: 1043513294
Provider Name: MEDICCI KLINX INC.
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
1608 LINCOLNWAY STE C
VALPARAISO, IN
ZIP 46383
Phone: (219) 299-2075
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MEDICCI KLINX INC. is a pediatrics in Valparaiso, IN. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. MEDICCI KLINX INC. NPI is 1043513294. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1608 LINCOLNWAY STE C
VALPARAISO, IN
ZIP 46383-852
Phone: (219) 299-2075

The provider's authorized official is Omar Villarroel .
The authorized official title is President and has the following contact phone number (912) 658-1155.

The enumeration date for this NPI number is 12/9/2010 and was last updated on 12/9/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatrics01068033AINDIANAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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