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Organization
CHEYENNE ENTERPRISES
Active
Organization
CHEYENNE ENTERPRISES
Active
Other names
Sure Success Medical
Organization subpart
No
Provider details
NPI number
Authorized official
SHEILA B THOMAS DO (SOLE PROPRIETOR)
(317) 253-7795
Entity
Organization
Contact information
Practice address
6100 N KEYSTONE AVE, SUITE 105, INDIANAPOLIS, IN 46220-2452
(317) 253-7795
(317) 253-7798
Mailing address
6100 N KEYSTONE AVE, SUITE 105, INDIANAPOLIS, IN 46220-2452
(317) 253-7795
(317) 253-7798
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02003529B
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200953660
—
IN
Enumeration date
02/27/2014
Last updated
02/27/2014
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