Healthcare Provider Details
I. General information
NPI: 1922275460
Provider Name (Legal Business Name): WOMENS MEDICAL CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/14/2008
Last Update Date: 05/14/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
297 FRANCISCAN DR MEDICAL ARTS CENTER
CROWN POINT IN
46307-4858
US
IV. Provider business mailing address
101 W 61ST AVE
HOBART IN
46342-6486
US
V. Phone/Fax
- Phone: 219-836-0000
- Fax: 219-836-2788
- Phone: 219-945-4965
- Fax: 219-947-1402
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207V00000X |
| Taxonomy | Obstetrics & Gynecology Physician |
| License Number | 01027579A |
| License Number State | IN |
VIII. Authorized Official
Name: DR.
NAVIN
BAROT
Title or Position: DIRECTOR
Credential: M.D.
Phone: 219-947-3030