| Thrive Studio LLC | |
|
826 W 64th St Indianapolis IN 46260-4704 | |
| (317) 820-2780 | |
| (317) 981-1544 |
| Full Name | Thrive Studio LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 826 W 64th St, Indianapolis, Indiana |
| Authorized Official Name and Position | Annette C. Fearnot (PHYSICAN/OWNER) |
| Authorized Official Contact | 3178202780 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thrive Studio LLC 826 W 64th St Indianapolis IN 46260-4704 Ph: (317) 820-2780 | Thrive Studio LLC 826 W 64th St Indianapolis IN 46260-4704 Ph: (317) 820-2780 |
| NPI Number | 1316824113 |
|---|---|
| Provider Enumeration Date | 08/21/2025 |
| Last Update Date | 08/21/2025 |
| Certification Date | 08/21/2025 |
| Medicare PECOS PAC ID | 5294223970 |
|---|---|
| Medicare Enrollment ID | O20251023003846 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316824113 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Annette Christine Fearnot - Kligerman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609191998 PECOS PAC ID: 0446485775 Enrollment ID: I20131022002251 |
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