NPI 1083714190

Northern Indiana Occupational Medicine Services LLC

Organisation Occupational Medicine Physician Valparaiso, IN

Practice location

Address: 813 Laporte Ave, Valparaiso, IN 46383-5801
Phone: (219) 465-4950
Fax: (219) 548-3172
Mailing address: PO Box 2028, Portage, IN 46368-5528

Authorised official

Name: Angela Leicht
Title: Account Manager
Phone: (219) 763-6423

Registered specialties

Occupational Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2083X0100X

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Registry record

NPI: 1083714190
Entity type: Organization
NPI issued: 25 Sep 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.