Organization
MIDWEST EAR INSTITUTE, P.C.
Active
Organization
MIDWEST EAR INSTITUTE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAN D BABCOCK (PRACTICE ADMINISTRATOR)
(317) 570-7353
Entity
Organization
Contact information
Practice address
7440 N SHADELAND AVE STE 150, INDIANAPOLIS, IN 46250-2095
(317) 842-4901
(317) 842-4393
Mailing address
7440 N SHADELAND AVE STE 150, INDIANAPOLIS, IN 46250-2095
(317) 842-4901
(317) 842-4393
Taxonomy
Speciality
Code
Description
License number
State
207YX0901X
Otology & Neurotology Physician
Primary
N/A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000104449
ANTHEM
—
01
—
1327815
UNITED HEALTHCARE
—
Enumeration date
10/12/2006
Last updated
08/22/2020
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