Northcentral Indiana Sports Medicine Center

NPI 1427267715 - Clinic/Center - 261QP2000X

NPI Details
NPI 1427267715
Enumeration Date 05/22/2007
Last Updated 09/20/2012
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name TODD ALAN TODD
Position ADMINISTRATOR
Phone (574) 737-7404
Fax (574) 737-7503
Practice Location
1603 CHASE RD
LOGANSPORT IN, 46947-1538, US
Phone (574) 737-7404
Fax (574) 737-7503
Business Location
1603 CHASE RD
LOGANSPORT IN, 46947-1538, US
Phone (574) 737-7404
Fax (574) 737-7503
Toxanomy
Taxonomy Code 261QP2000X
License State
License Number
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According to our database, Northcentral Indiana Sports Medicine Center NPI is 1427267715, taxonomy code is 261QP2000X Northcentral Indiana Sports Medicine Center physically located at 1603 Chase Rd, Logansport IN, 46947-1538. NPI Number 1033115704 has the healthcare provider type.

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1427267715 NPI number is provided on an as is basis without warranty of any kind. 1427267715 is maintained by the National Plan & Provider Enumeration System. The contents of Northcentral Indiana Sports Medicine Center are for informational purposes only.