Organization Name: | ASSOCIATED PEDIATRICIANS, LLC |
NPI Number: | 1942368519 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JILL ANN WALKER (MEDICAID TRICARE SERVICES MANAGER) |
Mailing Address: | 1101 Glendale Blvd Suite 101 Valparaiso |
State: | IN US |
Postal Code: | 463833767 |
Phone Number: | 2195317492 |
Fax Number: | 2195483681 |
NPI Enumeration Date: | 12/05/2006 |
NPI Last Update Date: | 04/28/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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. |