| Premise Health Of Indiana Medical, Pc | |
|
8677 Impact Ct Indianapolis IN 46219-1424 | |
| (371) 895-7173 | |
| Not Available |
| Full Name | Premise Health Of Indiana Medical, Pc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 8677 Impact Ct, Indianapolis, Indiana |
| Authorized Official Name and Position | Jonathan Leizman (PRESIDENT) |
| Authorized Official Contact | 6154686270 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premise Health Of Indiana Medical, Pc 5500 Maryland Way Ste 120 Brentwood TN 37027-4993 Ph: () - | Premise Health Of Indiana Medical, Pc 8677 Impact Ct Indianapolis IN 46219-1424 Ph: (371) 895-7173 |
| NPI Number | 1902688617 |
|---|---|
| Provider Enumeration Date | 10/17/2023 |
| Last Update Date | 10/17/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902688617 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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