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Organization

HIS SOLUTIONS HEALTH CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. WENDY L SHANNON NP (CEO)
(765) 393-3457
Entity
Organization

Contact information

Practice address
720 W 8TH ST, ANDERSON, IN 46016-1206
(765) 393-3457
(765) 393-3458
Mailing address
720 W 8TH ST, ANDERSON, IN 46016-1206
(765) 393-3457
(765) 393-3458

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201323020A
IN
Enumeration date
11/10/2010
Last updated
12/31/2015
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