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Contact Information

MAOAC, LLC
8856 SOUTH ST
FISHERS, IN46038-2911
 Phone: 317-516-1177
 Fax: 317-516-5128
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction Medicine

2084A0401X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for MAOAC LLC · (Female)

NPI # 1730663923
Status Active
Credentials
Entity Individual
Enumeration date 09/24/2018
Last updated 09/24/2018 - About 8 years ago
Sole proprietor 1 Not specified
Identifiers
  • IN Medicaid 1427027283
  • IN Medicaid 1760892749
  • IN Medicaid 1821290743
  • IN Medicaid 1891162764
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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