Organization
PRINCIPLE HEALTH SOLUTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KELVIN Z MATEMACHANI (DIRECTOR OF FINANCE)
(317) 600-8728
Entity
Organization
Contact information
Practice address
8520 ALLISON POINTE BLVD, SUITE 220, INDIANAPOLIS, IN 46250-5700
(317) 600-8728
Mailing address
8520 ALLISON POINTE BLVD, SUITE 220, INDIANAPOLIS, IN 46250-5700
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
28180237A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
28180237A
—
IN
Enumeration date
01/11/2012
Last updated
01/11/2012
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