North Central Neurology, Llc in South Bend - Neurology

North Central Neurology, Llc - NPI 1134262595

North Central Neurology, Llc is a Neurology in South Bend, Indiana. North Central Neurology, Llc practices all healthcare services and medical treatments related to Neurology. The NPI Number for North Central Neurology, Llc is 1134262595. The last update date is 2009-08-03.

North Central Neurology, Llc's current location address is 621 Memorial Dr, South Bend, Indiana. You can contact this provider via phone number 5742880215 and fax number 5742880158. The mailing address for North Central Neurology, Llc is 621 Memorial Dr, South Bend, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Organization North Central Neurology, Llc
Address 621 Memorial Dr, South Bend, Indiana
Phone Number 5742880215
Fax Number 5742880158
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OFFICE MAN
Authorized Official Name Galea Suzanne
Credentials MEDICAL AS
Telephone Number 5742880215

NPI Number Detail

NPI Number 1134262595
Provider Enumeration Date 2007-02-15
Last Updated Date 2009-08-03

Provider Mailing Address Detail

Address 621 Memorial Dr
City South Bend
State Indiana (IN)
Post Code 466011063
Phone Number 5742880215
Fax Number 5742880158

Provider's Primary Taxonomy Detail

Speciality Neurology
Taxonomy 2084N0400X
Licence No 1030000
Definition:
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
100261570 IN --
357987 IN ANTHEM

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FAQs about North Central Neurology, Llc

What is the unique 10-digit identifier code assigned to North Central Neurology, Llc by the Centers for Medicare & Medicaid Services?

The North Central Neurology, Llc has been issued the NPI (National Provider Identifier) 1134262595 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Where is the North Central Neurology, Llc located?

The North Central Neurology, Llc is located at 621 Memorial Dr, South Bend, IN 466011063.

What is North Central Neurology, Llc's specialized field of practice, and what is the corresponding taxonomy classification code?

The North Central Neurology, Llc's area of specialization is Neurology, and the corresponding taxonomy code that categorizes this field of practice is 2084N0400X.

On what date did the Centers for Medicare & Medicaid Services issue the 1134262595 to North Central Neurology, Llc?

The North Central Neurology, Llc received its 1134262595 assignment from the Centers for Medicare & Medicaid Services on 2007-02-15.

As of what date were the details related to North Central Neurology, Llc most recently updated or revised?

The information pertaining to North Central Neurology, Llc, including its address, specialty, and other relevant details, was last updated or revised on 2009-08-03.

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