National Provider Identifier Database

AVON COMMUNITY SCHOOLS WELLNESS CLINIC
Corporate Health


Contact Information

AVON COMMUNITY SCHOOLS WELLNESS CLINIC
7203 E US HIGHWAY 36
AVON, IN46123-7967
Phone: 317-544-6135
Fax: 317-544-6139
Website:
Specialty Taxonomy Code
* Corporate Health 261QC1800X

* Indicates primary specialty

NPI Profile & details for AVON COMMUNITY SCHOOLS WELLNESS CLINIC

NPI Number 1306115282
Legal business name
LBN
AVON COMMUNITY SCHOOLS WELLNESS CLINIC
Authorized official MARIJANE SMALLWOOD - (DIRECTOR IMMEDIATE CARE)
Entity Organization
Organization subpart Yes
Enumeration date 12/21/2011
Last updated 01/09/2012 - About 14 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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