Individual
DEWAUN ROCKINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3902 N COLLEGE AVE, INDIANAPOLIS, IN 46205-2735
(317) 507-6669
Mailing address
3902 N COLLEGE AVE, INDIANAPOLIS, IN 46205-2735
(317) 507-6669
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
22-000808-1
—
IN
Enumeration date
11/28/2022
Last updated
11/28/2022
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