| Odyssey Enterprises Llc | |
|
2559 S Addisyn Ln Bloomington IN 47403-3269 | |
| (317) 349-7680 | |
| (833) 975-0724 |
| Full Name | Odyssey Enterprises Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 2559 S Addisyn Ln, Bloomington, Indiana |
| Authorized Official Name and Position | James M Penticuff (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 3173497680 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Odyssey Enterprises Llc 2559 S Addisyn Ln Bloomington IN 47403-3269 Ph: (317) 349-7680 | Odyssey Enterprises Llc 2559 S Addisyn Ln Bloomington IN 47403-3269 Ph: (317) 349-7680 |
| NPI Number | 1699514711 |
|---|---|
| Provider Enumeration Date | 05/20/2024 |
| Last Update Date | 05/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699514711 | NPI | - | NPPES |
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