Healthcare Provider Details

I. General information

NPI: 1164038618
Provider Name (Legal Business Name): UNION ASSOCIATED PHYSICIANS CLINIC, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2020
Last Update Date: 07/20/2023
Certification Date: 07/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 S MAIN ST STE 200
CLINTON IN
47842-2261
US

IV. Provider business mailing address

1606 N 7TH ST
TERRE HAUTE IN
47804-2706
US

V. Phone/Fax

Practice location:
  • Phone: 812-232-0564
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: STEVE HOLMAN
Title or Position: CEO
Credential:
Phone: 812-238-7606