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OKOLOCHA MEDICAL PAIN & WEIGHT CLINIC NPI 1922053354


NPI Information

NPI: 1922053354
Provider Name: OKOLOCHA MEDICAL PAIN & WEIGHT CLINIC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
3847 EUCLID AVE
EAST CHICAGO, IN
ZIP 46312
Phone: (219) 398-0700
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OKOLOCHA MEDICAL PAIN & WEIGHT CLINIC is a family medicine in East Chicago, IN. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. OKOLOCHA MEDICAL PAIN & WEIGHT CLINIC NPI is 1922053354. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3847 EUCLID AVE
EAST CHICAGO, IN
ZIP 46312-332
Phone: (219) 398-0700
Fax: (219) 398-4914

The provider's authorized official is Ambrosio Aranas Dosado .
The authorized official title is Physician and has the following contact phone number (219) 398-0700.

The enumeration date for this NPI number is 5/24/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine01044052INDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000000296072OTHERINDIANABC/BS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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