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Contact Information

MAOAC, LLC
8856 SOUTH ST
FISHERS, IN46038-2911
 Phone: 317-516-1177
 Fax: 317-516-5128
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction Medicine

2084A0401X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for MAOAC, LLC

NPI Number 1730663923
LBN Legal business name MAOAC, LLC
Authorized official CASSY BRATCHER - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/24/2018
Last updated 09/24/2018 - About 8 years ago
Identifiers
IN Medicaid 1427027283
IN Medicaid 1760892749
IN Medicaid 1821290743
IN Medicaid 1891162764
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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