Healthcare Provider Details

I. General information

NPI: 1780094524
Provider Name (Legal Business Name): SEMCOTECH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2014
Last Update Date: 05/26/2021
Certification Date: 05/26/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10291 N MERIDIAN ST SUITE #170
INDIANAPOLIS IN
46290-1076
US

IV. Provider business mailing address

10291 N MERIDIAN ST STE 170
INDIANAPOLIS IN
46290-1000
US

V. Phone/Fax

Practice location:
  • Phone: 317-973-0888
  • Fax:
Mailing address:
  • Phone: 317-658-4987
  • Fax: 833-884-9394

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172M00000X
TaxonomyMechanotherapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code175L00000X
TaxonomyHomeopath
License Number
License Number State

VIII. Authorized Official

Name: MR. STEVEN EDWARD MASCHMEYER
Title or Position: MEMBER
Credential: CMTPT, LMT, BS
Phone: 317-658-4987