Individual
CHAD BRANCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1606 N 7TH ST, TERRE HAUTE, IN 47804-2706
(812) 238-7000
Mailing address
23042 JOHNATHON CT, ELKHART, IN 46516-8977
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28240712A
IN
Other
Enumeration date
05/29/2024
Last updated
05/29/2024
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