| Healthy Schools Indiana Llc | |
|
6605 E State Blvd Ste 9 Fort Wayne IN 46815-7036 | |
| (571) 289-1765 | |
| Not Available |
| Full Name | Healthy Schools Indiana Llc |
|---|---|
| Speciality | General Practice |
| Location | 6605 E State Blvd Ste 9, Fort Wayne, Indiana |
| Authorized Official Name and Position | Donald Boselli (PRESIDENT) |
| Authorized Official Contact | 9043795997 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthy Schools Indiana Llc 3546 Saint Johns Bluff Rd S Unit 113 Jacksonville FL 32224-2714 Ph: (904) 379-5997 | Healthy Schools Indiana Llc 6605 E State Blvd Ste 9 Fort Wayne IN 46815-7036 Ph: (571) 289-1765 |
| NPI Number | 1871074732 |
|---|---|
| Provider Enumeration Date | 08/28/2018 |
| Last Update Date | 08/28/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871074732 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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