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Contact Information

CONNERSVILLE OBGYN INC
1619 N GRAND AVE
CONNERSVILLE, IN47331-2230
 Phone: 765-825-0811
 Fax: 765-827-5278
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gynecology

207VG0400X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for CONNERSVILLE OBGYN INC

NPI Number 1225182272
LBN Legal business name CONNERSVILLE OBGYN INC
Authorized official VANCE RAHAM - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 01/23/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
IN License # 01045645
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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