Organization
UNITY HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA K MILLER (DIRECTOR OF BILLING)
(765) 446-5286
Entity
Organization
Contact information
Practice address
1250 S CREASY LN, LAFAYETTE, IN 47905-4960
(765) 446-5417
(765) 446-5317
Mailing address
PO BOX 4699, LAFAYETTE, IN 47903-4699
(765) 446-5417
(765) 446-5317
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
207L00000X
IN
207LP2900X
Pain Medicine (Anesthesiology) Physician
207LP2900X
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CD6272
RAILROAD MEDICARE
IN
Enumeration date
05/16/2006
Last updated
10/24/2007
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