Organization
LA PORTE REGIONAL PHYSICIAN NETWORK
Active
Organization
LA PORTE REGIONAL PHYSICIAN NETWORK
Active
Parent organization
LA PORTE REGIONAL PHYSICIAN NETWORK
Other names
Northern In Cardiology
Organization subpart
Yes
Provider details
NPI number
Legal business name
LA PORTE REGIONAL PHYSICIAN NETWORK
Authorized official
RHONDA VOLK (EXECUTIVE DIRECTOR)
(219) 326-2485
Entity
Organization
Contact information
Practice address
901 LINCOLNWAY, SUITE 310, LA PORTE, IN 46350-3430
(219) 362-7506
(219) 362-1459
Mailing address
PO BOX 1690, LA PORTE, IN 46352-1690
(219) 326-2312
(219) 326-2584
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
01038951
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100165070Y
—
IN
Enumeration date
06/05/2007
Last updated
06/06/2008
Update your record
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