Provider Demographics
NPI:1861671745
Name:SPENCER J. MARKOWITZ, M.D., P.C.
Entity Type:Organization
Organization Name:SPENCER J. MARKOWITZ, M.D., P.C.
Other - Org Name:MARKOWITZ INTERNAL MEDICINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SPENCER
Authorized Official - Middle Name:JOEL
Authorized Official - Last Name:MARKOWITZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:219-864-1212
Mailing Address - Street 1:830 CEDAR PKWY
Mailing Address - Street 2:
Mailing Address - City:SCHERERVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46375-1200
Mailing Address - Country:US
Mailing Address - Phone:219-864-1212
Mailing Address - Fax:219-864-1414
Practice Address - Street 1:830 CEDAR PKWY
Practice Address - Street 2:
Practice Address - City:SCHERERVILLE
Practice Address - State:IN
Practice Address - Zip Code:46375-1200
Practice Address - Country:US
Practice Address - Phone:219-864-1212
Practice Address - Fax:219-864-1414
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-29
Last Update Date:2007-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN50004684A261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center