Search › Indiana › 363A00000X
Dustin Simcoe
NPI 1295108942 · on the registry since 2015 · sole proprietor
Practice
- Address
- 401 Newporte Blvd
La Porte, IN 46350 - Phone
- (219) 575-6244
- Fax
- (219) 380-0757
- Clinicians at this address
- 3
Additional practice sites
- 51 Mapleview Rd, Wallingford, CT
- 809 Laporte Ave Ste B, Valparaiso, IN
- 650 Dickinson Rd, Chesterton, IN
- 3630 Willowcreek Rd, Portage, IN
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363A00000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-06-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana