| Keith A. Gingerich, M.D., P.C. | |
|
1001 Sturdy Rd Valparaiso IN 46383-4126 | |
| (219) 462-7173 | |
| Not Available |
| Full Name | Keith A. Gingerich, M.D., P.C. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1001 Sturdy Rd, Valparaiso, Indiana |
| Authorized Official Name and Position | Keith Gingerich (PRESIDENT/OWNER) |
| Authorized Official Contact | 2194627173 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Keith A. Gingerich, M.D., P.C. Po Box 2056 Valparaiso IN 46384-2056 Ph: (219) 462-7173 | Keith A. Gingerich, M.D., P.C. 1001 Sturdy Rd Valparaiso IN 46383-4126 Ph: (219) 462-7173 |
| NPI Number | 1922296185 |
|---|---|
| Provider Enumeration Date | 10/11/2007 |
| Last Update Date | 03/19/2021 |
| Certification Date | 03/19/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922296185 | NPI | - | NPPES |
| 100210000A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 01038826 (Indiana) | Primary |
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