Organization Name: | JAMES E. HAUGHN |
NPI Number: | 1447582499 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAMES E HAUGHN (OWNER) |
Mailing Address: | 645 N Spring St Wabash |
State: | IN US |
Postal Code: | 469921824 |
Phone Number: | 2605637495 |
Fax Number: | 2605637231 |
NPI Enumeration Date: | 02/02/2010 |
NPI Last Update Date: | 01/04/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | 01021600 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |