| NPI | 1356674162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD J BOBAY Owner 812-284-2273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 363LA2200X Nurse Practitioner, Adult Health | |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71002305A) | |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 3005827) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: IN 71002305A) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2009-09-10 |
| Last Update Date | 2023-11-01 |