| Jonathon T. Agee Np, Llc | |
|
7855 S Emerson Ave Ste H Indianapolis IN 46237-8669 | |
| (317) 300-0370 | |
| Not Available |
| Full Name | Jonathon T. Agee Np, Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 7855 S Emerson Ave Ste H, Indianapolis, Indiana |
| Authorized Official Name and Position | Jonathon Agee (OWNER) |
| Authorized Official Contact | 3173000370 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathon T. Agee Np, Llc 7855 S Emerson Ave Ste H Indianapolis IN 46237-8669 Ph: (317) 300-0370 | Jonathon T. Agee Np, Llc 7855 S Emerson Ave Ste H Indianapolis IN 46237-8669 Ph: (317) 300-0370 |
| NPI Number | 1851755466 |
|---|---|
| Provider Enumeration Date | 04/09/2016 |
| Last Update Date | 04/09/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851755466 | NPI | - | NPPES |
| 200489910 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 71000676A (Indiana) | Primary |
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