Union Associated Physicians Clinic Llc | |
2133 South State Road 46 Terre Haute IN 47803 | |
(812) 232-0564 | |
Not Available |
Full Name | Union Associated Physicians Clinic Llc |
---|---|
Speciality | Dermatology |
Location | 2133 South State Road 46, Terre Haute, Indiana |
Authorized Official Name and Position | Steve Holman (CEO) |
Authorized Official Contact | 8122387606 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Union Associated Physicians Clinic Llc 221 S 6th St Terre Haute IN 47807-4214 Ph: (812) 232-0564 | Union Associated Physicians Clinic Llc 2133 South State Road 46 Terre Haute IN 47803 Ph: (812) 232-0564 |
NPI Number | 1407404940 |
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Provider Enumeration Date | 08/28/2019 |
Last Update Date | 07/20/2023 |
Medicare PECOS PAC ID | 3375687437 |
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Medicare Enrollment ID | O20220421002199 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407404940 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
207N00000X | Dermatology | (* (Not Available)) | Primary |
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