Provider Demographics
NPI:1174524177
Name:JOSEPH C LEGASPI MD
Entity type:Organization
Organization Name:JOSEPH C LEGASPI MD
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SENIOR PRACTICE MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:W
Authorized Official - Last Name:BUCHLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:219-226-2205
Mailing Address - Street 1:9307 CALUMET AVE
Mailing Address - Street 2:STE D-1
Mailing Address - City:MUNSTER
Mailing Address - State:IN
Mailing Address - Zip Code:46321-2891
Mailing Address - Country:US
Mailing Address - Phone:219-836-2055
Mailing Address - Fax:219-836-0355
Practice Address - Street 1:9307 CALUMET AVE
Practice Address - Street 2:STE D-1
Practice Address - City:MUNSTER
Practice Address - State:IN
Practice Address - Zip Code:46321-2891
Practice Address - Country:US
Practice Address - Phone:219-836-2055
Practice Address - Fax:219-836-0355
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-02
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty