| Terre Haute Endocrinology And Diabetes Llc | |
|
2235 Wabash Ave Terre Haute IN 47807-3330 | |
| (847) 912-8457 | |
| Not Available |
| Full Name | Terre Haute Endocrinology And Diabetes Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2235 Wabash Ave, Terre Haute, Indiana |
| Authorized Official Name and Position | Edward Alan Rico (CEO) |
| Authorized Official Contact | 8479128457 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Terre Haute Endocrinology And Diabetes Llc 3681 N Egan St Terre Haute IN 47805-9743 Ph: (847) 912-8457 | Terre Haute Endocrinology And Diabetes Llc 2235 Wabash Ave Terre Haute IN 47807-3330 Ph: (847) 912-8457 |
| NPI Number | 1528862588 |
|---|---|
| Provider Enumeration Date | 04/01/2025 |
| Last Update Date | 04/01/2025 |
| Medicare PECOS PAC ID | 7810414679 |
|---|---|
| Medicare Enrollment ID | O20250506001931 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528862588 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
| Provider Name | Edward A Rico |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1477739423 PECOS PAC ID: 5698939684 Enrollment ID: I20120601000314 |
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