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NPI Code Detail

MEDICARE: AP & C CLINIC INC

MEDICARE: AP & C CLINIC INC
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
1101YP2500XProfessional Counselor57000054AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1700885050
Entity Type Code : Organization
Provider Name (Legal Business Name) : AP & C CLINIC INC
Provider Business Mailing Address
First Line : 2901 OHIO BLVD
Second Line : SUITE 202
City : TERRE HAUTE
State : IN
Zip : 47803-2239
Country : US
Telephone Number : 812-232-2144
Fax Number : 812-234-4598
Provider Business Practice Location Address
First Line : 2901 OHIO BLVD
Second Line : SUITE 202
City : TERRE HAUTE
State : IN
Zip : 47803-2239
Country : US
Telephone Number : 812-232-2144
Fax Number : 812-234-4598
Authorized Official
Title or Position : PRESIDENT OWNER
Name : DR. RICHARD G KENNEL
Credential : PH.D
Telephone Number : 812-232-2144
Provider Enumeration Date : 07/19/2005
Last Update Date : 07/01/2014

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Directions to “AP & C CLINIC INC ” Practice Location

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