Organization
UNION ASSOCIATED PHYSICIANS CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE HOLMAN (CEO)
(812) 238-7606
Entity
Organization
Contact information
Practice address
221 S 6TH ST, TERRE HAUTE, IN 47807-4214
(812) 232-0564
(812) 242-3861
Mailing address
221 S 6TH ST, TERRE HAUTE, IN 47807-4214
(812) 232-0564
(812) 242-3861
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207QS0010X
Sports Medicine (Family Medicine) Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200975660
—
IN
01
—
DQ0893
RAILROAD MEDICARE
IN
Enumeration date
09/15/2009
Last updated
07/20/2023
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