| Nibel Gp Llc | |
|
1813 Willow Suite 5a Vincennes IN 47591 | |
| (812) 885-1200 | |
| (812) 885-1209 |
| Full Name | Nibel Gp Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 1813 Willow, Vincennes, Indiana |
| Authorized Official Name and Position | David M Nibel (OWNER) |
| Authorized Official Contact | 8128851200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nibel Gp Llc 1813 Willow Suite 5a Vincennes IN 47591 Ph: (812) 885-1200 | Nibel Gp Llc 1813 Willow Suite 5a Vincennes IN 47591 Ph: (812) 885-1200 |
| NPI Number | 1083943278 |
|---|---|
| Provider Enumeration Date | 12/17/2009 |
| Last Update Date | 03/30/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083943278 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 01043100A (Indiana) | Primary |
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