Organization
CURTIS FAMILY PRACTICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH A CURTIS D.O. (PHYSICIANOWNER)
(574) 946-7900
Entity
Organization
Contact information
Practice address
2418 N. CURTIS DRIVE, SUITE B, WINAMAC, IN 46996-8818
(574) 946-7900
(574) 946-7936
Mailing address
2418 N. CURTIS DRIVE, SUITE B, WINAMAC, IN 46996-8818
(574) 946-7900
(574) 946-7936
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02000870B
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000102868
BLUE CROSS / BLUE SHIELD
IN
05
—
200885120A
—
IN
Enumeration date
11/17/2006
Last updated
02/03/2015
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