Provider Demographics
NPI:1659589695
Name:DOCTOR BIEHL LLC
Entity Type:Organization
Organization Name:DOCTOR BIEHL LLC
Other - Org Name:DOCTOR BIEHL LLC
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:CARL
Authorized Official - Last Name:BIEHL
Authorized Official - Suffix:III
Authorized Official - Credentials:MD
Authorized Official - Phone:219-872-2466
Mailing Address - Street 1:8865 WEST 400 NORTH, MEDICAL PAVILION
Mailing Address - Street 2:SUITE 101
Mailing Address - City:MICHIGAN CITY
Mailing Address - State:IN
Mailing Address - Zip Code:46360-9222
Mailing Address - Country:US
Mailing Address - Phone:219-872-2466
Mailing Address - Fax:219-872-2467
Practice Address - Street 1:8865 WEST 400 NORTH, MEDICAL PAVILION
Practice Address - Street 2:SUITE 101
Practice Address - City:MICHIGAN CITY
Practice Address - State:IN
Practice Address - Zip Code:46360-9222
Practice Address - Country:US
Practice Address - Phone:219-872-2466
Practice Address - Fax:219-872-2467
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-21
Last Update Date:2007-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01040209A207XP3100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XP3100XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryPediatric Orthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
INE-86193Medicare UPIN
IN5936920001Medicare NSC
IN251620Medicare PIN