| NPI | 1457317786 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY D WEBB VP Financial Services 219-866-5141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IN 71000809A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: IN 71001593A) |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2007-11-19 |