Allied Physicians of Michiana, LLC
Organization Active NPI Durable Medical Equipment & Medical Supplies · Bremen, IN
NPI 1356745657 · NPPES record last updated Oct 15, 2014
Key facts
- NPI
- 1356745657
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- Legal business name
- ALLIED PHYSICIANS OF MICHIANA, LLC
- Practice address
- 1120 W South St
Bremen, IN 46506-1849 - Phone
- (574) 247-4667
- Fax
- (574) 271-4458
- NPI assigned
- Oct 15, 2014
- Organization subpart
- Yes
- Parent organization (as reported)
- ALLIED PHYSICIANS OF MICHIANA, LLC
Authorized official
- Name
- Shery A. Roussarie
- Title
- Ceo
- Phone
- (574) 251-2100
Corporate family (same tax ID) 3
National Provider Directory
- Tax ID family
- Allied Physicians of Michiana LLC
- Part of
- Allied Physicians of Michiana LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Yes |
Addresses
Primary practice location
1120 W South St
Bremen, IN 46506-1849
Mailing address
6301 University Commons
Suite 230
South Bend, IN 46635-1571
Phone (574) 251-2100
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201236170 | Medicaid | IN |
Other names
- Allied Bone and Joint
Other providers in Bremen, IN
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- Aims, LLC
- Balog Bremen Vision Center P C
- Michael Wayne Barney
- Beacon Medical Group Inc
- Beacon Medical Group, Inc.
- Kara Beebe
All providers in Bremen, IN · Durable Medical Equipment & Medical Supplies in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 15, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.