Healthcare Provider Details

I. General information

NPI: 1245694413
Provider Name (Legal Business Name): ACCUDOC INC PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/13/2016
Last Update Date: 12/07/2023
Certification Date: 12/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 ALPINE DR
BATESVILLE IN
47006-8477
US

IV. Provider business mailing address

20 ALPINE DR
BATESVILLE IN
47006-8477
US

V. Phone/Fax

Practice location:
  • Phone: 812-932-3224
  • Fax: 812-932-3229
Mailing address:
  • Phone: 812-932-3224
  • Fax: 812-932-3229

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. TRENT R AUSTIN
Title or Position: MEDICAL DIRECTOR
Credential: M.D.
Phone: 812-932-3224