Individual
DR. NEIL JAMES SINK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
611 E DOUGLAS RD STE 408, MISHAWAKA, IN 46545-1468
(574) 335-6440
(574) 335-0806
Mailing address
707 E CEDAR ST, SUITE 200, SOUTH BEND, IN 46617-2057
(574) 335-8707
(574) 335-0741
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
01079255A
IN
207V00000X
Obstetrics & Gynecology Physician
29080
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001119328
BCBS
IN
05
—
300006551
—
IN
01
—
IN1041052
MEDICARE
IN
Enumeration date
06/24/2009
Last updated
06/16/2018
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