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Contact Information

CANCER CARE GROUP, P.C.
2505 N LEBANON ST
SUITE 100
LEBANON, IN46052-8612
 Phone: 765-483-7310
 Fax: 765-483-7315
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
Indicates primary specialty

NPI Profile & details for CANCER CARE GROUP PC · (Female)

NPI Number 1922277318
Status Active
Credentials
Entity Individual
Enumeration date 02/29/2008
Last updated 08/12/2014 - About 12 years ago
Sole proprietor 1 Not specified
Identifiers
  • IN License # 50004183A
  • IN Medicaid 200259350
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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