| Premise Health Of Indiana Medical, P.c. | |
|
105 In-4 Ashley IN 46705 | |
| (260) 589-3288 | |
| Not Available |
| Full Name | Premise Health Of Indiana Medical, P.c. |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 105 In-4, Ashley, Indiana |
| Authorized Official Name and Position | Jonathan Leizman (PRESIDENT) |
| Authorized Official Contact | 2164799063 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premise Health Of Indiana Medical, P.c. 5500 Maryland Way Brentwood TN 37027-7048 Ph: () - | Premise Health Of Indiana Medical, P.c. 105 In-4 Ashley IN 46705 Ph: (260) 589-3288 |
| NPI Number | 1821764226 |
|---|---|
| Provider Enumeration Date | 08/17/2021 |
| Last Update Date | 08/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821764226 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |