Organization
ASSISTECH LLC
Active
Other names
Assistech
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY A WAGNER (OWNER/PRESIDENT)
(317) 209-1200
Entity
Organization
Contact information
Practice address
9233 E US HIGHWAY 36, CHARCOAL BLDG #3, AVON, IN 46123-7929
(317) 209-1200
(317) 209-1206
Mailing address
PO BOX 261, BROWNSBURG, IN 46112-0261
(317) 209-1200
(317) 209-1206
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000384715
ANTHEM PIN NUMBER
IN
Enumeration date
05/03/2006
Last updated
08/22/2020
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