# CHEYENNE ENTERPRISES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sure Success Medical
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396160339
- **Authorized official:** SHEILA B THOMAS DO (SOLE PROPRIETOR)
- **Authorized official phone:** (317) 253-7795

## Contact information

- **Practice address:** 6100 N KEYSTONE AVE, SUITE 105, INDIANAPOLIS, IN 46220-2452
- **Practice address phone:** (317) 253-7795
- **Practice address fax:** (317) 253-7798
- **Mailing address:** 6100 N KEYSTONE AVE, SUITE 105, INDIANAPOLIS, IN 46220-2452
- **Mailing address phone:** (317) 253-7795
- **Mailing address fax:** (317) 253-7798

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 02003529B | IN | Yes |

## Other

- **Enumeration date:** 02/27/2014
- **Last updated:** 02/27/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200953660 | — | IN |