Organization
CENTRAL INDIANA PODIATRY, PC
Active
Parent organization
CENTRAL INDIANA PODIATRY, PC
Other names
Achilles Podiatry
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTRAL INDIANA PODIATRY, PC
Authorized official
BARBARA HUNTSMAN (CREDENTIALING SPECIALIST)
(317) 931-0664
Entity
Organization
Contact information
Practice address
1720 LAFAYETTE ROAD, SUITE 3, CRAWFORDSVILLE, IN 47362-4604
(765) 362-6233
(765) 362-8270
Mailing address
3731 GUION ROAD, SUITE C, INDIANAPOLIS, IN 46222-7604
(317) 931-0664
(317) 927-0924
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CK6005
PALMETTO GBA
IN
Enumeration date
01/15/2013
Last updated
01/23/2013
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