| Sopris Clinicians LLC | |
|
13625 Golden Ridge Ln Fishers IN 46055-9648 | |
| (317) 296-4077 | |
| Not Available |
| Full Name | Sopris Clinicians LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 13625 Golden Ridge Ln, Fishers, Indiana |
| Authorized Official Name and Position | Charles Janssens (OWNER) |
| Authorized Official Contact | 3172964077 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sopris Clinicians LLC 13625 Golden Ridge Ln Fishers IN 46055-9648 | Sopris Clinicians LLC 13625 Golden Ridge Ln Fishers IN 46055-9648 Ph: (317) 296-4077 |
| NPI Number | 1760313522 |
|---|---|
| Provider Enumeration Date | 05/28/2026 |
| Last Update Date | 05/28/2026 |
| Certification Date | 05/28/2026 |
| Medicare PECOS PAC ID | 3779056239 |
|---|---|
| Medicare Enrollment ID | O20260625003065 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760313522 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Charles Janssens |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740448489 PECOS PAC ID: 0244386613 Enrollment ID: I20090928000065 |
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