MEDICARE: THE CODING WIZARD

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
1	171W00000X	Contractor

General Provider Information

NPI Number	:	1447023007
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE CODING WIZARD

Provider Business Mailing Address
First Line	:	4616 NIKKI DR APT C
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46237-1714
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4616 NIKKI DR APT C
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46237-1714
Country	:	US
Telephone Number	:	317-362-2190
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	CHRISTY WILLS
Credential	:
Telephone Number	:	317-362-2190

Provider Enumeration Date	:	11/03/2023
Last Update Date	:	11/03/2023

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Directions to “THE CODING WIZARD ” Practice Location

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