Organization
NEXT GEN NEURO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEISHA OSBURN (CHIEF EXECUTIVE OFFICER)
(317) 372-5716
Entity
Organization
Contact information
Practice address
3042 S COUNTY ROAD 475 E, PLAINFIELD, IN 46168-8353
(317) 372-5716
Mailing address
3042 S COUNTY ROAD 475 E, PLAINFIELD, IN 46168-8353
(317) 372-5716
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
03/03/2020
Last updated
03/05/2020
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