National Provider Identifier Database

CARECONNECTMD MEDICAL GROUP INDIANA PC
Corporate Health


Contact Information

CARECONNECTMD MEDICAL GROUP INDIANA PC
9465 COUNSELORS ROW STE 200
INDIANAPOLIS, IN46240-3817
Phone: 657-202-5944
Fax:
Website:
Specialty Taxonomy Code
* Corporate Health 261QC1800X

* Indicates primary specialty

NPI Profile & details for CARECONNECTMD MEDICAL GROUP INDIANA PC

NPI Number 1528666922
Legal business name
LBN
CARECONNECTMD MEDICAL GROUP INDIANA PC
Authorized official GEORGE FIELDS - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 10/16/2020
Last updated 10/16/2020 - About 6 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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