Healthcare Provider Details

I. General information

NPI: 1699254078
Provider Name (Legal Business Name): NPM MD TRANSITIONAL CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2018
Last Update Date: 08/07/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

767 S COUNTY ROAD 150 W
GREENSBURG IN
47240-7466
US

IV. Provider business mailing address

767 S COUNTY ROAD 150 W
GREENSBURG IN
47240-7466
US

V. Phone/Fax

Practice location:
  • Phone: 812-614-1127
  • Fax:
Mailing address:
  • Phone: 812-614-1127
  • Fax:

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: MR. STEVEN M FRENSEMEIER
Title or Position: CONSULTATN
Credential: MBA
Phone: 812-662-5530