| Organization Name: | UNITY HEALTHCARE, LLC |
| NPI Number: | 1013181858 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARTHA K MILLER (DIRECTOR OF BILLING) |
| Mailing Address: | 1345 Unity Pl Suite 145a Lafayette |
| State: | IN US |
| Postal Code: | 479055771 |
| Phone Number: | 7654465040 |
| Fax Number: | 7654465041 |
| NPI Enumeration Date: | 04/14/2008 |
| NPI Last Update Date: | 01/06/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207KA0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Allergy & Immunology |
| Taxonomy Specialization: | Allergy |
| Taxonomy Definition: | |