Organization
MIDWEST HEALTHSTRATEGIES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN M LAVERTY (DIRECTOR/OFFICER)
(765) 751-5072
Entity
Organization
Contact information
Practice address
1745 W 100 S, PORTLAND, IN 47371
(260) 726-4020
(260) 726-1805
Mailing address
C/O GARNET E KING, 3813 S MADISON ST, MUNCIE, IN 47302
(765) 213-3707
(765) 213-3888
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000230588
ANTHEM BCBS
IN
Enumeration date
07/18/2006
Last updated
08/22/2020
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