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Contact Information

ODYSSEY ENTERPRISES LLC
2559 S ADDISYN LN
BLOOMINGTON, IN47403-3269
 Phone: 317-349-7680
 Fax: 833-975-0724
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Adult Medicine

207QA0505X 08 Physician/Family Practice
 

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for ODYSSEY ENTERPRISES LLC · (Female)

NPI # 1699514711
Status Active
Credentials
Entity Individual
Enumeration date 05/20/2024
Last updated 05/20/2024 - About 2 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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