Pediatric Specialty Associates, Inc

LBN: Pediatric Specialty Associates, Inc
Pediatric Specialty Associates, Inc is an health care organization with primary practice located at 6437 Rucker Rd Suite D, Indianapolis IN 46220-4885. The organization recently has only one registered license in Agencies / Early Intervention Provider Agency, which is considered as the primary health care specialty. Pediatric Specialty Associates, Inc can be contacted via phone (317) 405-9016, or through Holtz, Donna via phone (317) 405-9016.

Contact Information

Primary practice address
6437 Rucker Rd Suite D Indianapolis IN 46220-4885
Phone: (317) 405-9016
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Holtz, Donna
Phone: (317) 405-9016

Health care specialties

SpecialtyCodeLicense #State
Agencies / Early Intervention Provider Agency 252Y00000X 22005410A Indiana

Profile Details

NPI number 1346628492
LBN Legal business name Pediatric Specialty Associates, Inc
DBA Doing business as
Authorized official Holtz, Donna
Entity Organization
Organization subpart 1 No
Enumeration date May 9th, 2015
Last updated May 9th, 2015 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1346628492 NPPES
Indiana Other 22005410A INDIANA SPEECH LANGUAGE LICENSE

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