Jeffersonville Family Practice | |
1035 Wall St Suite 204 Jeffersonville IN 47130-3612 | |
(812) 288-8410 | |
(812) 288-8409 |
Full Name | Jeffersonville Family Practice |
---|---|
Speciality | Family Medicine |
Location | 1035 Wall St, Jeffersonville, Indiana |
Authorized Official Name and Position | Steven F Shields (BILLING MANAGER) |
Authorized Official Contact | 8042829133 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Jeffersonville Family Practice 1035 Wall St Suite 204 Jeffersonville IN 47130-3612 Ph: (812) 288-8410 | Jeffersonville Family Practice 1035 Wall St Suite 204 Jeffersonville IN 47130-3612 Ph: (812) 288-8410 |
NPI Number | 1235450867 |
---|---|
Provider Enumeration Date | 06/17/2010 |
Last Update Date | 10/07/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235450867 | NPI | - | NPPES |
1437214731 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 02001067A (Indiana) | Primary |
News Archive
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