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Contact Information

INDIANA CLINIC CRITICAL CARE LLC
1801 N SENATE BLVD
STE 230
INDIANAPOLIS, IN46202-1228
 Phone: 317-962-5820
 Fax: 317-962-3916
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
 

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
 

Hospice and Palliative Medicine

207RH0002X 11 Physician/Internal Medicine
 

Hospitalist

208M00000X
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Sleep Medicine

207RS0012X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for INDIANA CLINIC CRITICAL CARE LLC · (Female)

NPI # 1417285230
Status Active
Credentials
Entity Individual
Enumeration date 12/07/2009
Last updated 09/14/2023 - About 3 years ago
Sole proprietor 1 Not specified
Identifiers
  • IN Medicaid 200984010
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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