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Organization
AMERICAN HEALTH NETWORK OF INDIANA, LLC
Active
Organization
AMERICAN HEALTH NETWORK OF INDIANA, LLC
Active
Parent organization
AMERICAN HEALTH NETWORK OF INDIANA, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
AMERICAN HEALTH NETWORK OF INDIANA, LLC
Authorized official
BEN H. PARK M.D. (PRESIDENT AND CEO)
(317) 580-6307
Entity
Organization
Contact information
Practice address
15229 US 31 N, WESTFIELD, IN 46074
(317) 867-1236
(317) 896-1299
Mailing address
PO BOX 840, WESTFIELD, IN 46074
(317) 867-1236
(317) 896-1299
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0828280012
DMERC
IN
Enumeration date
06/23/2006
Last updated
01/09/2008
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