Healthcare Provider Details

I. General information

NPI: 1538865977
Provider Name (Legal Business Name): CIRCLE HEALTH PARTNERS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/07/2023
Last Update Date: 02/07/2023
Certification Date: 02/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

450 E 96TH ST STE 500
INDIANAPOLIS IN
46240-3760
US

IV. Provider business mailing address

450 E 96TH ST STE 500
INDIANAPOLIS IN
46240-3760
US

V. Phone/Fax

Practice location:
  • Phone: 317-973-0060
  • Fax: 317-663-1196
Mailing address:
  • Phone: 317-973-0060
  • Fax: 317-663-1196

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State

VIII. Authorized Official

Name: MR. STEVEN J HUSK
Title or Position: PRINCIPAL
Credential:
Phone: 317-973-0060