Healthcare Provider Details
I. General information
NPI: 1962459909
Provider Name (Legal Business Name): HEALTHPOINTE, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/27/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
12050 N MICHIGAN RD
ZIONSVILLE IN
46077-8782
US
IV. Provider business mailing address
12050 N MICHIGAN RD
ZIONSVILLE IN
46077-8782
US
V. Phone/Fax
- Phone: 317-873-2767
- Fax: 317-733-8878
- Phone: 317-873-2767
- Fax: 317-733-8878
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
KATHLEEN
A
WHALEY
Title or Position: OWNER
Credential: M.D.
Phone: 317-873-2767