Organization
ASSOCIATED PHYSICIANS & SURGEONS CLINIC, LLC
Active
Parent organization
ASSOCIATED PHYSICIANS & SURGEONS CLINIC, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ASSOCIATED PHYSICIANS & SURGEONS CLINIC, LLC
Authorized official
MICHAEL P FOUTY (CFO/AUTHORIZED REPRESENTATIVE)
(812) 232-0564
Entity
Organization
Contact information
Practice address
1530 N 7TH ST, STE 200, TERRE HAUTE, IN 47807-1057
(812) 232-0564
(812) 242-3848
Mailing address
221 S 6TH ST, TERRE HAUTE, IN 47807-4214
(812) 232-0564
(812) 242-3848
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
207VG0400X
Gynecology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0176835
US DEPT OF LABOR
—
01
—
ZD3948
OPTIMUM CHOICE INC
—
Enumeration date
10/31/2006
Last updated
04/20/2008
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