Organization
GREENFIELD NEUROLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN CHASE MD (OWNER)
(317) 462-6066
Entity
Organization
Contact information
Practice address
300 E BOYD AVE, SUITE #230, GREENFIELD, IN 46140-2834
(317) 462-6066
Mailing address
PO BOX 68952, INDIANAPOLIS, IN 46268-0952
(317) 871-8262
(317) 870-0499
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200804760
—
IN
Enumeration date
08/25/2006
Last updated
03/09/2009
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