NPI | 1619123585 |
---|---|
Entity Type | Organization |
Authorized Contact | CHERYL A WATHEN CFO 812-450-3296 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology |
207RR0500X Internal Medicine, Rheumatology | |
207K00000X Allergy & Immunology | |
207RI0200X Internal Medicine, Infectious Disease | |
207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism | |
207RG0100X Internal Medicine, Gastroenterology | |
207RH0003X Internal Medicine, Hematology & Oncology | |
2080P0206X Pediatrics, Pediatric Gastroenterology | |
213E00000X Podiatrist | |
231H00000X Audiologist | |
363A00000X Physician Assistant | |
363L00000X Nurse Practitioner | |
363LA2100X Nurse Practitioner, Acute Care | |
363LF0000X Nurse Practitioner, Family | |
Enumeration Date | 2008-08-12 |
Last Update Date | 2020-09-23 |