Healthcare Provider Details

I. General information

NPI: 1356429385
Provider Name (Legal Business Name): ASSOCIATES IN WOMEN'S HEALTH PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2525 W UNIVERSITY AVE SUITE 401
MUNCIE IN
47303-3421
US

IV. Provider business mailing address

2525 W UNIVERSITY AVE SUITE 401
MUNCIE IN
47303-3421
US

V. Phone/Fax

Practice location:
  • Phone: 765-286-0236
  • Fax: 765-286-0185
Mailing address:
  • Phone: 765-286-0236
  • Fax: 765-286-0185

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number50003485A
License Number StateIN

VIII. Authorized Official

Name: MRS. CATHY S WHITEHEAD
Title or Position: OFFICE MANAGER
Credential:
Phone: 765-286-0236