| Dc Integrated Medicine Corporation | |
|
212 E 10th St Greensburg IN 47240-8249 | |
| (812) 222-0970 | |
| (812) 222-0972 |
| Full Name | Dc Integrated Medicine Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 212 E 10th St, Greensburg, Indiana |
| Authorized Official Name and Position | Andrew Chandler (PRESIDENT/PRACTITIONER) |
| Authorized Official Contact | 8122220970 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dc Integrated Medicine Corporation 212 E 10th St Greensburg IN 47240-8249 Ph: (812) 222-0970 | Dc Integrated Medicine Corporation 212 E 10th St Greensburg IN 47240-8249 Ph: (812) 222-0970 |
| NPI Number | 1275825069 |
|---|---|
| Provider Enumeration Date | 05/11/2011 |
| Last Update Date | 05/13/2015 |
| Medicare PECOS PAC ID | 6204012677 |
|---|---|
| Medicare Enrollment ID | O20110519000275 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275825069 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 02003584A (Indiana) | Primary |
| Provider Name | Andrew P Chandler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457516809 PECOS PAC ID: 3476689266 Enrollment ID: I20100331000656 |
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