Healthcare Provider Details

I. General information

NPI: 1598972986
Provider Name (Legal Business Name): ASSOCIATED HEALING ARTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/17/2007
Last Update Date: 06/16/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33 METSKER LN
NOBLESVILLE IN
46062-8921
US

IV. Provider business mailing address

33 METSKER LN
NOBLESVILLE IN
46062-8921
US

V. Phone/Fax

Practice location:
  • Phone: 317-770-0540
  • Fax: 317-770-0970
Mailing address:
  • Phone: 317-770-0540
  • Fax: 317-770-0970

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number01022243
License Number StateIN

VIII. Authorized Official

Name: DR. ROBERT ALLEN LOCKE
Title or Position: OWNER
Credential: M.D.
Phone: 317-770-0540