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DECATUR VEIN CLINIC HOBART PC NPI 1285841502


NPI Information

NPI: 1285841502
Provider Name: DECATUR VEIN CLINIC HOBART, PC

Doing Business As: DECATUR VEIN CLINIC

Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

Address:
5043 E LINCOLN HWY
MERRILLVILLE, IN
ZIP 46410
Phone: (219) 942-1717
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DECATUR VEIN CLINIC HOBART, PC is a vascular surgery surgery in Merrillville, IN. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. DECATUR VEIN CLINIC HOBART, PC NPI is 1285841502. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Decatur Vein Clinic.

The provider's business location address is:

5043 E LINCOLN HWY
MERRILLVILLE, IN
ZIP 46410-912
Phone: (219) 942-1717
Fax: (800) 591-3117

The provider's authorized official is Thomas M Whitten .
The authorized official title is Owner/medical Director and has the following contact phone number (317) 218-2807.

The enumeration date for this NPI number is 5/17/2007 and was last updated on 1/8/2013.


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
12086S0129XSurgeryVascular SurgeryYes

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
1251230MEDICARE PININDIANA

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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