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Lookup NPI Numbers from the NPI Registry

Contact Information

INNOVATIVE MEDICINE
3554 PROMENADE PKWY STE H
LAFAYETTE, IN47909-8418
 Phone: 765-471-1100
 Fax: 765-471-1009
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction Medicine

207QA0401X 08 Physician/Family Practice
 

Adult Medicine

207QA0505X 08 Physician/Family Practice
 

Bariatric Medicine

207QB0002X 08 Physician/Family Practice
 

Non-Pharmacy Dispensing Site

332900000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for INNOVATIVE MEDICINE

NPI Number 1417486523
LBN Legal business name INNOVATIVE MEDICINE
Authorized official JACQUELINE SNYDER - (BILLING MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/12/2017
Last updated 04/18/2024 - About 2 years ago
Identifiers
IN Other 1720219702 MELISSA GALBRETH LMHC
IN Other 1144372863 ROBERT CHARLES TURNER MD
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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