Organization
NORTHERN INDIANA OCCUPATIONAL MEDICINE SERVICES LLC
Active
Other names
NIOMS, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANGELA LEICHT (ACCOUNT MANAGER)
(219) 763-6423
Entity
Organization
Contact information
Practice address
3220 LANCER ST, PORTAGE, IN 46368-4495
(219) 364-3161
(219) 764-8463
Mailing address
PO BOX 2028, PORTAGE, IN 46368-5528
(440) 716-1283
(440) 716-1605
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
—
—
Other
Enumeration date
09/25/2006
Last updated
08/22/2020
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