Indy Adult Medicine, Llc in Indianapolis - Specialist
Indy Adult Medicine, Llc - NPI 1376711911
Indy Adult Medicine, Llc is a Specialist in Indianapolis, Indiana. Indy Adult Medicine, Llc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Indy Adult Medicine, Llc is 1376711911. The last update date is 2013-12-23.
Indy Adult Medicine, Llc's current location address is 3850 Shore Dr, Indianapolis, Indiana. You can contact this provider via phone number 3172980000 and fax number 3172980011. The mailing address for Indy Adult Medicine, Llc is 3850 Shore Dr, Indianapolis, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Indy Adult Medicine, Llc |
|---|---|
| Address | 3850 Shore Dr, Indianapolis, Indiana |
| Phone Number | 3172980000 |
| Fax Number | 3172980011 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PARTNER |
|---|---|
| Authorized Official Name | Johnson Lynn Angela |
| Credentials | M.D. |
| Telephone Number | 3172980000 |
NPI Number Detail
| NPI Number | 1376711911 |
|---|---|
| Provider Enumeration Date | 2008-02-18 |
| Last Updated Date | 2013-12-23 |
Provider Mailing Address Detail
| Address | 3850 Shore Dr |
|---|---|
| City | Indianapolis |
| State | Indiana (IN) |
| Post Code | 462542609 |
| Phone Number | 3172980000 |
| Fax Number | 3172980011 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Indy Adult Medicine, Llc by the Centers for Medicare & Medicaid Services?
The Indy Adult Medicine, Llc has been assigned the NPI (National Provider Identifier) 1376711911 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Indy Adult Medicine, Llc is located?
The Indy Adult Medicine, Llc is situated at the following address: 3850 Shore Dr, Indianapolis, IN, 462542609.
What is Indy Adult Medicine, Llc's area of expertise and its corresponding taxonomy classification?
The Indy Adult Medicine, Llc's field of specialization is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Indy Adult Medicine, Llc receive its 1376711911 assignment from the Centers for Medicare & Medicaid Services?
The Indy Adult Medicine, Llc was assigned its 1376711911 by the Centers for Medicare & Medicaid Services on 2008-02-18.
As of what date were the details pertaining to Indy Adult Medicine, Llc last refreshed?
The information related to the Indy Adult Medicine, Llc, including its address, specialty, and other relevant details, was last updated on 2013-12-23.
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