Krabill Family Medicine | |
1806 Charlton Ct Goshen IN 46526-6463 | |
(574) 534-2400 | |
Not Available |
Full Name | Krabill Family Medicine |
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Speciality | Family Medicine |
Location | 1806 Charlton Ct, Goshen, Indiana |
Authorized Official Name and Position | Sarah T Krabill (OWNER) |
Authorized Official Contact | 5745342400 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Krabill Family Medicine 1806 Charlton Ct Goshen IN 46526-6463 Ph: (574) 534-2400 | Krabill Family Medicine 1806 Charlton Ct Goshen IN 46526-6463 Ph: (574) 534-2400 |
NPI Number | 1093954331 |
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Provider Enumeration Date | 02/10/2009 |
Last Update Date | 05/11/2011 |
Medicare PECOS PAC ID | 6103974712 |
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Medicare Enrollment ID | O20090507000562 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093954331 | NPI | - | NPPES |
200939290 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (Indiana) | Primary |
Provider Name | Sarah T Krabill |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1720051063 PECOS PAC ID: 3274517917 Enrollment ID: I20040617001599 |
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