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NPI Code Detail

MEDICARE: MISS MEGAN LYNN CHOJNACKI PAC

MEDICARE:  MISS MEGAN LYNN CHOJNACKI  PAC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AS0400XSurgical Physician Assistant99019539AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000000082988OTHERANTHEM

General Provider Information

NPI Number : 1235129909
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS MEGAN LYNN CHOJNACKI PAC
Provider Business Mailing Address
First Line : 8501 HARCOURT RD
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46260-2046
Country : US
Telephone Number : 317-875-9105
Fax Number :
Provider Business Practice Location Address
First Line : 8501 HARCOURT RD
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46260-2046
Country : US
Telephone Number : 317-875-9105
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/25/2005
Last Update Date : 10/21/2008

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Directions to “ MISS MEGAN LYNN CHOJNACKI PAC” Practice Location

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