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NEW BALANCE OCCUPATIONAL MEDICINE LLC NPI 1184921652


NPI Information

NPI: 1184921652
Provider Name: NEW BALANCE OCCUPATIONAL MEDICINE, LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1574 E 85TH AVE
MERRILLVILLE, IN
ZIP 46410
Phone: (219) 769-4400
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NEW BALANCE OCCUPATIONAL MEDICINE, LLC is a family medicine in Merrillville, IN. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. NEW BALANCE OCCUPATIONAL MEDICINE, LLC NPI is 1184921652. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1574 E 85TH AVE
MERRILLVILLE, IN
ZIP 46410
Phone: (219) 769-4400
Fax: (219) 795-1419

The provider's authorized official is Oranu G Ibekie .
The authorized official title is Md and has the following contact phone number (219) 769-4400.

The enumeration date for this NPI number is 2/18/2011 and was last updated on 4/24/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207QA0401XFamily MedicineAddiction MedicineNo
22083X0100XPreventive MedicineOccupational MedicineINDIANANo
3207Q00000XFamily MedicineINDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1201016650AMEDICAIDINDIANA

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: 11/14/2023

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