| Directclinic Sbc, Llc | |
|
300 W Ohio St Kendallville IN 46755-2018 | |
| (260) 212-1906 | |
| Not Available |
| Full Name | Directclinic Sbc, Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 300 W Ohio St, Kendallville, Indiana |
| Authorized Official Name and Position | Sudhakar Santhana Krishnan (CEO) |
| Authorized Official Contact | 2607500418 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Directclinic Sbc, Llc 1355 Getz Rd Ste C Fort Wayne IN 46804-1609 Ph: (260) 212-1900 | Directclinic Sbc, Llc 300 W Ohio St Kendallville IN 46755-2018 Ph: (260) 212-1906 |
| NPI Number | 1154086841 |
|---|---|
| Provider Enumeration Date | 11/08/2021 |
| Last Update Date | 11/30/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154086841 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Brooklyn Medical Associates, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 326 Sawyer Rd, Kendallville, IN 46755 Phone: 260-747-6171 Fax: 260-478-5125 | |
Kendallville Family Care Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 130 Lake Terrace Dr, Kendallville, IN 46755 Phone: 260-349-9240 Fax: 260-349-9244 |