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NPI Code Detail

MEDICARE: EASTERN INDIANA ORTHOPAEDICS INC

MEDICARE: EASTERN INDIANA ORTHOPAEDICS 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
1207X00000XOrthopaedic Surgery Physician

Other Identifiers

General Provider Information

NPI Number : 1922072933
Entity Type Code : Organization
Provider Name (Legal Business Name) : EASTERN INDIANA ORTHOPAEDICS INC
Provider Business Mailing Address
First Line : 1400 HIGHLAND RD
Second Line : STE 1
City : RICHMOND
State : IN
Zip : 47374-8810
Country : US
Telephone Number : 765-962-5574
Fax Number : 765-939-4200
Provider Business Practice Location Address
First Line : 1400 HIGHLAND RD
Second Line : STE 1
City : RICHMOND
State : IN
Zip : 47374-8810
Country : US
Telephone Number : 765-962-5574
Fax Number : 765-939-4200
Authorized Official
Title or Position : BUSINESS OFFICE MANAGER
Name : TONYA ABRAMS
Credential :
Telephone Number : 765-962-5574
Provider Enumeration Date : 02/15/2006
Last Update Date : 12/05/2007

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Directions to “EASTERN INDIANA ORTHOPAEDICS INC ” Practice Location

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