End Stage Renal Disease Care Pc

NPI 1366444127 - Internal Medicine - 207RN0300X

NPI Details
NPI 1366444127
Enumeration Date 08/11/2005
Last Updated 04/17/2008
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name JOSEPH HOWARD JOSEPH
Position SECRETARY TREASURER
Phone (765) 287-0248
Fax (765) 287-0265
Practice Location
2701 W NORTH ST
SUITE C
MUNCIE IN, 47303-3415, US
Phone (765) 287-0248
Fax (765) 287-0265
Business Location
2701 W NORTH ST
SUITE C
MUNCIE IN, 47303-3415, US
Phone (765) 287-0248
Fax (765) 287-0265
Toxanomy
Taxonomy Code 207RN0300X
License State Indiana
License Number 50002637A
Remove 1366444127 NPI Number
 

According to our database, End Stage Renal Disease Care Pc NPI is 1366444127, taxonomy code is 207RN0300X and license number is 50002637A, license state is located at Indiana. End Stage Renal Disease Care Pc physically located at 2701 W North St, Muncie IN, 47303-3415. NPI Number 1033115704 has the healthcare provider type.

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1366444127 NPI number is provided on an as is basis without warranty of any kind. 1366444127 is maintained by the National Plan & Provider Enumeration System. The contents of End Stage Renal Disease Care Pc are for informational purposes only.