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Contact Information

INNOVATIVE MEDICINE
3554 PROMENADE PKWY STE H
LAFAYETTE, IN47909-8418
 Phone: 765-471-1100
 Fax: 765-471-1009
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction Medicine

207QA0401X 08 Physician/Family Practice
 

Adult Medicine

207QA0505X 08 Physician/Family Practice
 

Bariatric Medicine

207QB0002X 08 Physician/Family Practice
 

Non-Pharmacy Dispensing Site

332900000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for INNOVATIVE MEDICINE · (Female)

NPI # 1417486523
Status Active
Credentials
Entity Individual
Enumeration date 06/12/2017
Last updated 04/18/2024 - About 2 years ago
Sole proprietor 1 Not specified
Identifiers
  • IN Other 1720219702 MELISSA GALBRETH LMHC
  • IN Other 1144372863 ROBERT CHARLES TURNER MD
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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