Healthcare Provider Details
I. General information
NPI: 1457322414
Provider Name (Legal Business Name): NEW HORIZON SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/30/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
867 W CARMEL DR
CARMEL IN
46032-5804
US
IV. Provider business mailing address
867 W CARMEL DR
CARMEL IN
46032-5804
US
V. Phone/Fax
- Phone: 317-575-7777
- Fax: 317-575-7788
- Phone: 317-575-7777
- Fax: 317-575-7788
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261Q00000X |
| Taxonomy | Clinic/Center |
| License Number | 01027726A |
| License Number State | IN |
VIII. Authorized Official
Name: DR.
JAMES
G
BARTON
Title or Position: OWNER
Credential: MD
Phone: 317-575-7777