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Organization
EVENTUS WHOLEHEALTH MIDWEST INC
Active
Organization
EVENTUS WHOLEHEALTH MIDWEST INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER RUCCI MD (OWNER)
(855) 743-2247
Entity
Organization
Contact information
Practice address
2100 MIDWAY ST # 3722, COLUMBUS, IN 47201-3722
(260) 483-9081
(260) 483-9196
Mailing address
PO BOX 1000 DEPT 3063, MEMPHIS, TN 38148-0001
(855) 743-2247
(260) 483-9196
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
NULL
101Y00000X
Counselor
—
—
103T00000X
Psychologist
—
NULL
103T00000X
Psychologist
—
—
104100000X
Social Worker
—
NULL
104100000X
Social Worker
—
—
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
07/21/2020
Last updated
12/11/2024
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