Healthcare Provider Details

I. General information

NPI: 1386777415
Provider Name (Legal Business Name): HEPFER,INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2007
Last Update Date: 11/21/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1512 W 86TH ST
INDIANAPOLIS IN
46260-2156
US

IV. Provider business mailing address

1512 W 86TH ST
INDIANAPOLIS IN
46260-2156
US

V. Phone/Fax

Practice location:
  • Phone: 317-471-8880
  • Fax: 317-471-8893
Mailing address:
  • Phone: 317-471-8880
  • Fax: 317-471-8893

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: MRS. SHERYL ANN MCCAIN
Title or Position: PRESIDENT
Credential: CERTIFIED PEDORTHIST
Phone: 317-471-8880