Indiana West, Pc in Terre Haute - Specialist

Indiana West, Pc - NPI 1487640140

Indiana West, Pc is a Specialist in Terre Haute, Indiana. Indiana West, Pc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Indiana West, Pc is 1487640140. The last update date is 2007-10-18.

Indiana West, Pc's current location address is 4601 S 7th St, Terre Haute, Indiana. You can contact this provider via phone number 8122326673 and fax number 8122321519. The mailing address for Indiana West, Pc is 4601 S 7th St, Terre Haute, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Organization Indiana West, Pc
Address 4601 S 7th St, Terre Haute, Indiana
Phone Number 8122326673
Fax Number 8122321519
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CORPORATE
Authorized Official Name Stallcop R Brenda
Telephone Number 8122326673

NPI Number Detail

NPI Number 1487640140
Provider Enumeration Date 2005-09-27
Last Updated Date 2007-10-18

Provider Mailing Address Detail

Address 4601 S 7th St
City Terre Haute
State Indiana (IN)
Post Code 478024522
Phone Number 8122326673
Fax Number 8122321519

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 50003589
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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FAQs about Indiana West, Pc

What is the unique 10-digit identifier code assigned to Indiana West, Pc by the Centers for Medicare & Medicaid Services?

The Indiana West, Pc has been issued the NPI (National Provider Identifier) 1487640140 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Where is the Indiana West, Pc located?

The Indiana West, Pc is located at 4601 S 7Th St, Terre Haute, IN 478024522.

What is the Indiana West, Pc's specialty and taxonomy code?

The Indiana West, Pc's specialty is Specialist, and the corresponding taxonomy code is 174400000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1487640140 to Indiana West, Pc?

The Centers for Medicare & Medicaid Services originally issued the 1487640140 to Indiana West, Pc on 2005-09-27.

When was the information pertaining to Indiana West, Pc most recently updated or revised?

The details related to Indiana West, Pc, including its address, specialty, and other relevant information, were last updated or revised on 2007-10-18.

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