National Provider Identifier Database

FC INDIANA LLC
Rural Health


Contact Information

FC INDIANA, LLC
2418 16TH ST
BEDFORD, IN47421-3049
Phone: 931-253-1110
Fax: 931-722-9919
Website:
Specialty Taxonomy Code
* Rural Health 261QR1300X

* Indicates primary specialty

NPI Profile & details for FC INDIANA, LLC

NPI Number 1841911591
Legal business name
LBN
FC INDIANA, LLC
Authorized official SYDNI CLEMMONS - (CREDENTIALING MANAGER)
Entity Organization
Organization subpart No
Enumeration date 09/09/2022
Last updated 09/09/2022 - About 4 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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