| NPI | 1871792150 |
|---|---|
| Other Name | NONE |
| Entity Type | Organization |
| Authorized Contact | PHILIP KARL JAMES President Of Organization 317-920-1300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01061519A) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 104100000X Social Worker | |
| 163W00000X Registered Nurse (Licence: IN 28041546A) | |
| 363A00000X Physician Assistant (Licence: IN 10000107A) | |
| 207V00000X Obstetrics & Gynecology (Licence: IN 01030481A) | |
| 246QL0901X Specialist/Technologist, Pathology Laboratory Management, Diplomate | |
| 103K00000X Behavior Analyst | |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2010-02-11 |