| Clay Township Clinic Llc | |
|
50795 Indiana State Route 933 South Bend IN 46637-2050 | |
| (574) 272-7500 | |
| (574) 272-2291 |
| Full Name | Clay Township Clinic Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 50795 Indiana State Route 933, South Bend, Indiana |
| Authorized Official Name and Position | John Paul Eichorst (OWNER) |
| Authorized Official Contact | 5742727500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clay Township Clinic Llc 50795 Indiana State Route 933 South Bend IN 46637-2050 Ph: (574) 272-7500 | Clay Township Clinic Llc 50795 Indiana State Route 933 South Bend IN 46637-2050 Ph: (574) 272-7500 |
| NPI Number | 1659555142 |
|---|---|
| Provider Enumeration Date | 12/20/2007 |
| Last Update Date | 01/09/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659555142 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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