Individual
MR. ERIC SCOTT HOLSOPPLE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
1400 E HANNA AVE, INDIANAPOLIS, IN 46227-3630
(317) 788-3309
Mailing address
246 N 20TH AVE, BEECH GROVE, IN 46107-1020
(317) 727-2766
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
36001043A
IN
Other
Enumeration date
02/12/2006
Last updated
07/08/2007
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