# NOVIA CARECLINICS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225369721
- **Authorized official:** MR. ERIC OLSON (PRESIDENT)
- **Authorized official phone:** (317) 791-6691

## Contact information

- **Practice address:** 214 INDIANA AVE, MISHAWAKA, IN 46544-2533
- **Practice address phone:** (317) 472-7568
- **Practice address fax:** (574) 855-1565
- **Mailing address:** 429 N PENNSYLVANIA ST, INDIANAPOLIS, IN 46204-1815
- **Mailing address phone:** (317) 791-6691
- **Mailing address fax:** (617) 791-6680

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/22/2010
- **Last updated:** 01/22/2010