Organization Name: | C MICHAEL ACTON MD INC |
NPI Number: | 1861476434 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | C MICHAEL ACTON (PRESIDENT) |
Mailing Address: | 1024 S 6th St Suite 205 Terre Haute |
State: | IN US |
Postal Code: | 478075015 |
Phone Number: | 8122344409 |
Fax Number: | |
NPI Enumeration Date: | 12/06/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 01023806A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |