Nibel General Practice Llc | |
1813 Willow Suite 5a Vincennes IN 47591-1064 | |
(812) 885-1200 | |
(812) 885-1209 |
Full Name | Nibel General Practice Llc |
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Speciality | Clinic/center - Primary Care |
Location | 1813 Willow, Vincennes, Indiana |
Authorized Official Name and Position | Jody Miles (OFFICE MANAGER) |
Authorized Official Contact | 8128851200 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Nibel General Practice Llc 1813 Willow Suite 5a Vincennes IN 47591-1064 Ph: (812) 885-1200 | Nibel General Practice Llc 1813 Willow Suite 5a Vincennes IN 47591-1064 Ph: (812) 885-1200 |
NPI Number | 1760676324 |
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Provider Enumeration Date | 08/28/2007 |
Last Update Date | 03/30/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760676324 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 01043100A (Indiana) | Primary |
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