Healthcare Provider Details

I. General information

NPI: 1457736811
Provider Name (Legal Business Name): ACE MEDICAL SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2015
Last Update Date: 01/17/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

855 N HIGH SCHOOL RD SUITE 5
INDIANAPOLIS IN
46214-5701
US

IV. Provider business mailing address

855 N HIGH SCHOOL RD SUITE 5
INDIANAPOLIS IN
46214-5701
US

V. Phone/Fax

Practice location:
  • Phone: 317-270-9500
  • Fax:
Mailing address:
  • Phone: 317-270-9500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SARA DISHMAN
Title or Position: OWNER
Credential:
Phone: 317-455-3192