Organization
CENTRAL INDIANA ALLERGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANDREA STEWART (BILLING)
(317) 865-0055
Entity
Organization
Contact information
Practice address
965 EMERSON PKWY, SUITE B, GREENWOOD, IN 46143-6273
(317) 865-0055
(317) 865-0056
Mailing address
965 EMERSON PKWY, SUITE B, GREENWOOD, IN 46143-6273
(317) 865-0055
(317) 865-0056
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
01048040
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1134121569
INDIVIDUAL NPI
IN
01
—
1386626927
INDIVIDUAL NPI
IN
01
—
1700101102
INDIVIDUAL NPI
IN
Enumeration date
09/14/2006
Last updated
08/03/2015
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