| NPI | 1295137925 |
|---|---|
| Doing Business As | BALL STATE SPORTS MEDICINE |
| Doing Business As | INTERPROFESSIONAL COMMUNITY CLINICS |
| Entity Type | Organization |
| Authorized Contact | BLAIR SCOTT MATTERN Associate Dean For Clinical Affairs 765-285-5354 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TC0700X Psychologist, Clinical | |
| 231H00000X Audiologist | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2014-09-25 |
| Last Update Date | 2026-07-24 |