Organization
UNITY HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA K MILLER (DIRECTOR OF BILLING)
(765) 446-5286
Entity
Organization
Contact information
Practice address
2020 UNION ST, LAFAYETTE, IN 47904-3432
(765) 446-5417
(765) 446-5317
Mailing address
PO BOX 4699, LAFAYETTE, IN 47903-4699
(765) 446-5417
(765) 446-5317
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
103T00000X
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CD6272
RAILROAD MEDICARE
IN
Enumeration date
05/16/2006
Last updated
10/24/2007
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