| Cep America - Neurology Pc | |
|
1606 N 7th St Terre Haute IN 47804-2706 | |
| (812) 238-7000 | |
| Not Available |
| Full Name | Cep America - Neurology Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1606 N 7th St, Terre Haute, Indiana |
| Authorized Official Name and Position | David Birdsall (VICE PRESIDENT) |
| Authorized Official Contact | 5103502680 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cep America - Neurology Pc 1601 Cummins Dr Ste D Modesto CA 95358-6411 Ph: (510) 350-2680 | Cep America - Neurology Pc 1606 N 7th St Terre Haute IN 47804-2706 Ph: (812) 238-7000 |
| NPI Number | 1174132708 |
|---|---|
| Provider Enumeration Date | 07/29/2020 |
| Last Update Date | 07/29/2020 |
| Certification Date | 07/29/2020 |
| Medicare PECOS PAC ID | 3971871500 |
|---|---|
| Medicare Enrollment ID | O20201019003055 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174132708 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Paul Gadient |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1295027076 PECOS PAC ID: 0749594901 Enrollment ID: I20201020001509 |
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