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NPI Code Detail

MEDICARE: UNION ASSOCIATED PHYSICIANS CLINIC LLC

MEDICARE: UNION ASSOCIATED PHYSICIANS CLINIC LLC
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
1207Q00000XFamily Medicine Physician
2207N00000XDermatology Physician

General Provider Information

NPI Number : 1407404940
Entity Type Code : Organization
Provider Name (Legal Business Name) : UNION ASSOCIATED PHYSICIANS CLINIC LLC
Provider Business Mailing Address
First Line : 221 S 6TH ST
Second Line :
City : TERRE HAUTE
State : IN
Zip : 47807-4214
Country : US
Telephone Number : 812-232-0564
Fax Number : 812-242-4509
Provider Business Practice Location Address
First Line : 2133 SOUTH STATE ROAD 46
Second Line :
City : TERRE HAUTE
State : IN
Zip : 47803
Country : US
Telephone Number : 812-232-0564
Fax Number :
Authorized Official
Title or Position : CEO
Name : STEVE HOLMAN
Credential :
Telephone Number : 812-238-7606
Provider Enumeration Date : 08/28/2019
Last Update Date : 07/20/2023

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Directions to “UNION ASSOCIATED PHYSICIANS CLINIC LLC ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.