| NPI Details | |
|---|---|
| NPI | 1356447866 |
| Enumeration Date | 09/15/2006 |
| Last Updated | 08/27/2009 |
| Entity Type | Healthcare Provider |
| Active | Over 11 years ago |
| Authorized Information | |
|---|---|
| Name | THOMAS W THOMAS |
| Position | OWNER |
| Phone | (859) 936-0094 |
| Fax | (859) 936-0095 |
| Practice Location | |
|---|---|
| 321 S 3RD ST SUITE A DANVILLE KY, 40422-2001, US |
|
| Phone | (859) 936-0094 |
| Fax | (859) 936-0095 |
| Business Location | |
|---|---|
| 9899 E 126TH ST FISHERS IN, 46038-2821, US |
|
| Phone | (317) 567-2179 |
| Fax | (317) 567-2191 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 2084N0400X |
| License State | Kentucky |
| License Number | 38102 |
| Remove 1356447866 NPI Number | |
According to our database, Bluegrass Neurological Services, Psc NPI is 1356447866, taxonomy code is 2084N0400X and license number is 38102, license state is located at Kentucky. Bluegrass Neurological Services, Psc physically located at 321 S 3rd St, Danville KY, 40422-2001. NPI Number 1033115704 has the healthcare provider type.
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1356447866 NPI number is provided on an as is basis without warranty of any kind. 1356447866 is maintained by the National Plan & Provider Enumeration System. The contents of Bluegrass Neurological Services, Psc are for informational purposes only.
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