Provider Demographics
NPI:1710244686
Name:FAMILY HEALTH CARE INC
Entity Type:Organization
Organization Name:FAMILY HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MUTENA
Authorized Official - Middle Name:
Authorized Official - Last Name:KORMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:219-942-4222
Mailing Address - Street 1:111 W 10TH ST
Mailing Address - Street 2:SUITE 102
Mailing Address - City:HOBART
Mailing Address - State:IN
Mailing Address - Zip Code:46342-5990
Mailing Address - Country:US
Mailing Address - Phone:219-942-4222
Mailing Address - Fax:219-942-4233
Practice Address - Street 1:111 W 10TH ST
Practice Address - Street 2:SUITE 102
Practice Address - City:HOBART
Practice Address - State:IN
Practice Address - Zip Code:46342-5990
Practice Address - Country:US
Practice Address - Phone:219-942-4222
Practice Address - Fax:219-942-4233
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-17
Last Update Date:2012-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN200402440208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty