| Central Indiana Neurology | |
|
2101 Jackson St Ste 106 Anderson IN 46016-4386 | |
| (765) 298-4545 | |
| (765) 298-4945 |
| Full Name | Central Indiana Neurology |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 2101 Jackson St Ste 106, Anderson, Indiana |
| Authorized Official Name and Position | William D Earwood (CFO/CIO) |
| Authorized Official Contact | 3173082828 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Indiana Neurology 6983 Hillsdale Ct Indianapolis IN 46250-2054 Ph: (317) 308-2828 | Central Indiana Neurology 2101 Jackson St Ste 106 Anderson IN 46016-4386 Ph: (765) 298-4545 |
| NPI Number | 1841539558 |
|---|---|
| Provider Enumeration Date | 02/01/2013 |
| Last Update Date | 12/05/2023 |
| Certification Date | 12/05/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841539558 | NPI | - | NPPES |
| 100218760O | Medicaid | IN | |
| CJ9849 | Other | IN | MEDICARE RR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (Indiana) | Primary |
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