National Provider Identifier Database

ST VINCENT PEDIATRIC REHABILITATION CENTER INC
Children


Contact Information

ST. VINCENT PEDIATRIC REHABILITATION CENTER, INC.
1707 W. 86TH ST.
INDIANAPOLIS, IN46240
Phone: 317-415-5500
Fax: 317-415-5595
Website:
Specialty Taxonomy Code
* Children 282NC2000X

* Indicates primary specialty

NPI Profile & details for ST. VINCENT PEDIATRIC REHABILITATION CENTER, INC.

NPI Number 1245270834
Legal business name
LBN
ST. VINCENT PEDIATRIC REHABILITATION CENTER, INC.
Authorized official JEFF POLTAWSKY - (ADMINISTRATOR)
Entity Organization
Organization subpart No
Enumeration date 06/08/2006
Last updated 10/16/2007 - About 19 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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