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Contact Information

PROGRESSIVE RADIATION ONCOLOGY, PC
2020 MERIDIAN ST
SUITE 100
ANDERSON, IN46016-4346
 Phone: 317-863-2593
 Fax: 317-863-2602
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
Indicates primary specialty

NPI Profile & details for PROGRESSIVE RADIATION ONCOLOGY PC · (Female)

NPI Number 1801956867
Status Active
Credentials
Entity Individual
Enumeration date 12/11/2006
Last updated 05/27/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • IN License # 01060645
  • IN Medicaid 200371400
  • IN Medicaid 200868590A
  • IN Other 000000523109 ANTHEM GROUP #
  • IN Other 1801956867 GROUP NPI
  • IN Other 1679668735 INDIVIDUAL NPI
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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