<Unavail>

LBN: Impact Athletics Incorporated
<Unavail> is an health care organization with primary practice located at 9525 N Meridian St , Indianapolis IN 46260-1310. The organization recently has 5 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietitian, Registered, Allopathic & Osteopathic Physicians / Sports Medicine, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, Physician Assistants & Advanced Practice Nursing Providers / Family. Allopathic & Osteopathic Physicians / Sports Medicine is the primary health care specialty. Impact Athletics Incorporated can be contacted via phone (317) 669-2375, or through Ham, Jack via phone (669) 666-4936.

Contact Information

Primary practice address
9525 N Meridian St Indianapolis IN 46260-1310
Phone: (317) 669-2375
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ham, Jack
Phone: (669) 666-4936

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X
Allopathic & Osteopathic Physicians / Sports Medicine 2083S0010X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X

Profile Details

NPI number 1568203610
LBN Legal business name Impact Athletics Incorporated
DBA Doing business as <Unavail>
Authorized official Ham, Jack
Entity Organization
Organization subpart 1 No
Enumeration date Jun 3rd, 2024
Last updated Jul 13th, 2024 - about 2 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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