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Contact Information

INDIANA PEDIATRIC ASSOCIATES LLC
655 N BROADWAY
PERU, IN46970
 Phone: 765-475-0024
 Fax: 765-475-0736
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for INDIANA PEDIATRIC ASSOCIATES LLC · (Female)

NPI # 1902975642
Status Active
Credentials
Entity Individual
Enumeration date 11/07/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
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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