Organization
PRO2 INDIANAPOLIS, LLC
Active
Other names
PRO2 Respiratory Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY FORD (PRESIDENT)
(513) 469-5771
Entity
Organization
Contact information
Practice address
7164 ZIONSVILLE RD, PARK 100, INDIANAPOLIS, IN 46268-2163
(317) 298-7700
(317) 299-7707
Mailing address
7164 ZIONSVILLE RD, PARK 100, BUILDING 106, INDIANAPOLIS, IN 46268-2163
(317) 298-7700
(317) 299-7707
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200800600B
—
IN
Enumeration date
07/12/2006
Last updated
05/21/2008
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