NORTHEAST INDIANA UROLOGY PC NPI 1861670754

NPI Information

NORTHEAST INDIANA UROLOGY PC is a durable medical equipment medical supplies in Lagrange, IN. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. NORTHEAST INDIANA UROLOGY PC NPI is 1861670754. The provider is registered as an organization entity type.

The provider's business location address is:

304 N TOWNLINE RD
LAGRANGE, IN
ZIP 46761-319
Phone: (260) 436-6667
Fax: (260) 469-7437

The provider's authorized official is John B Brinkman .
The authorized official title is Md and has the following contact phone number (260) 436-6667.

The enumeration date for this NPI number is 2/4/2008 and was last updated on 1/23/2012.

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:

Other Identifiers

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