Amanda Marie Dick Llc | |
120 Saint Louis Ave Seymour IN 47274-2304 | |
(812) 522-6237 | |
(812) 523-8369 |
Full Name | Amanda Marie Dick Llc |
---|---|
Speciality | Clinic/center |
Location | 120 Saint Louis Ave, Seymour, Indiana |
Authorized Official Name and Position | Amanda Marie Dick (OWNER) |
Authorized Official Contact | 8125226237 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Amanda Marie Dick Llc 120 Saint Louis Ave Seymour IN 47274-2304 Ph: (812) 522-6237 | Amanda Marie Dick Llc 120 Saint Louis Ave Seymour IN 47274-2304 Ph: (812) 522-6237 |
NPI Number | 1417262312 |
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Provider Enumeration Date | 08/16/2010 |
Last Update Date | 03/07/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417262312 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 01068465A (Indiana) | Primary |
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