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NPI Code Detail

MEDICARE: MAJOR AFFILIATES

MEDICARE: MAJOR AFFILIATES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QX0100XOccupational Medicine Clinic/Center

General Provider Information

NPI Number : 1841351301
Entity Type Code : Organization
Provider Name (Legal Business Name) : MAJOR AFFILIATES
Provider Business Mailing Address
First Line : 30 W RAMPART ST
Second Line : SUITE 110
City : SHELBYVILLE
State : IN
Zip : 46176-8846
Country : US
Telephone Number : 317-398-7644
Fax Number : 317-398-5660
Provider Business Practice Location Address
First Line : 30 W RAMPART ST
Second Line : SUITE 110
City : SHELBYVILLE
State : IN
Zip : 46176-8846
Country : US
Telephone Number : 317-398-7644
Fax Number : 317-398-5660
Authorized Official
Title or Position : OFFICE MANAGER
Name : MRS. RHONDA J SAWYER
Credential :
Telephone Number : 317-398-7644
Provider Enumeration Date : 12/12/2006
Last Update Date : 07/08/2008

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Directions to “MAJOR AFFILIATES ” Practice Location

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