Individual
INNISS M TARAWOLLIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5108 W 38TH ST, INDIANAPOLIS, IN 46254-3326
(317) 760-7180
Mailing address
5108 W 38TH ST, INDIANAPOLIS, IN 46254-3326
(317) 760-7180
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
BC20501718
IN
Other
Enumeration date
10/07/2021
Last updated
08/26/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us