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Organization
MAJOR SPORTS AND MUSCULOSKELETAL CARE
Active
Organization
MAJOR SPORTS AND MUSCULOSKELETAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN HORNER (CEO)
(317) 392-3211
Entity
Organization
Contact information
Practice address
157 WEST WASHINGTON, SHELBYVILLE, IN 46176
(317) 421-3265
Mailing address
1626 E STATE ROAD 44, STE A, SHELBYVILLE, IN 46176-4057
(317) 421-2012
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200475330
—
IN
Enumeration date
09/21/2006
Last updated
07/21/2022
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