Eagle Dancer Inc

LBN: Eagle Dancer Inc
Eagle Dancer Inc is an health care organization with primary practice located at 414 S College Ave , Bloomington IN 47403-1513. The organization recently has only one registered license in Suppliers / Customized Equipment, which is considered as the primary health care specialty. Eagle Dancer Inc can be contacted via phone (812) 331-1962, or through Stidd, Raymond via phone (812) 330-0909.

Contact Information

Primary practice address
414 S College Ave Bloomington IN 47403-1513
Phone: (812) 331-1962
Fax: (812) 332-1949
Website:
Map and Directions
Authorized official contact:
Name: Stidd, Raymond Doctor of Podiatric Medicine (DPM)
Phone: (812) 330-0909

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Customized Equipment 332BC3200X 280-B Indiana

Profile Details

NPI number 1700051711
LBN Legal business name Eagle Dancer Inc
DBA Doing business as
Authorized official Stidd, Raymond Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 30th, 2008
Last updated Nov 23rd, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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