Central Indiana Proctology Pc in Martinsville - Colon & Rectal Surgery

Central Indiana Proctology Pc - NPI 1427081090

Central Indiana Proctology Pc is a Colon & Rectal Surgery in Martinsville, Indiana. Central Indiana Proctology Pc practices all healthcare services and medical treatments related to Colon & Rectal Surgery. The NPI Number for Central Indiana Proctology Pc is 1427081090. The last update date is 2010-11-11.

Central Indiana Proctology Pc's current location address is Po Box 1716, Martinsville, Indiana. You can contact this provider via phone number 7653423686 and fax number 7653424173. The mailing address for Central Indiana Proctology Pc is Po Box 1716, Martinsville, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Organization Central Indiana Proctology Pc
Address Po Box 1716, Martinsville, Indiana
Phone Number 7653423686
Fax Number 7653424173
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Broderick E. Paul
Credentials D.O.
Telephone Number 7653423686

NPI Number Detail

NPI Number 1427081090
Provider Enumeration Date 2006-07-08
Last Updated Date 2010-11-11

Provider Mailing Address Detail

Address Po Box 1716
City Martinsville
State Indiana (IN)
Post Code 461510716
Phone Number 7653423686
Fax Number 7653424173

Provider's Primary Taxonomy Detail

Speciality Colon & Rectal Surgery
Taxonomy 208C00000X
Licence No 50003439A
Definition:
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liv

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
CB9700 IN RAILROAD MEDICARE

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FAQs about Central Indiana Proctology Pc

What is the Central Indiana Proctology Pc's unique identification number?

The Central Indiana Proctology Pc has been assigned the NPI (National Provider Identifier) Number 1427081090 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete physical address where Central Indiana Proctology Pc is located?

The Central Indiana Proctology Pc is situated at the following address: Po Box 1716, Martinsville, IN, 461510716.

What is the Central Indiana Proctology Pc's specialty and taxonomy code?

The Central Indiana Proctology Pc's specialty is Colon & Rectal Surgery, and the corresponding taxonomy code is 208C00000X.

On what date did the Central Indiana Proctology Pc receive its 1427081090 assignment from the Centers for Medicare & Medicaid Services?

The Central Indiana Proctology Pc was assigned its 1427081090 by the Centers for Medicare & Medicaid Services on 2006-07-08.

As of what date were the Central Indiana Proctology Pc's details last updated?

The information pertaining to the Central Indiana Proctology Pc, including its address, specialty, and other details, was most recently updated on 2010-11-11.

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