Organization Name: | DR SLOVACHEK LLC |
NPI Number: | 1013152404 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DONN RICHARD SLOVACHEK (MANAGER) |
Mailing Address: | 3700 Washington Ave Evansville |
State: | IN US |
Postal Code: | 477500001 |
Phone Number: | 8124857111 |
Fax Number: | 8124857070 |
NPI Enumeration Date: | 12/13/2008 |
NPI Last Update Date: | 12/13/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207VG0400X |
License Number: | 01056372 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | Gynecology |
Taxonomy Definition: |