Organization
UNION ASSOCIATED PHYSICIANS CLINIC, LLC
Active
Parent organization
UNION ASSOCIATED PHYSICIANS CLINIC, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNION ASSOCIATED PHYSICIANS CLINIC, LLC
Authorized official
MICHAEL P FOUTY CPA (CFO/AUTH. REP.)
(812) 232-0564
Entity
Organization
Contact information
Practice address
567 N 5TH ST, TERRE HAUTE, IN 47809-1903
(812) 237-3883
(812) 237-8246
Mailing address
221 S 6TH ST, TERRE HAUTE, IN 47807-4214
(812) 232-0564
(812) 242-3861
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DQ0893
RAILROAD MEDICARE
IN
Enumeration date
05/19/2010
Last updated
08/12/2010
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