institution
Southeastern Indiana Gastroenterology
Specialist in Columbus, Indiana
NPI 1457332413

Southeastern Indiana Gastroenterology is a Specialist based in Columbus, IN. Southeastern Indiana Gastroenterology practices in Columbus, IN. The NPI Number for Southeastern Indiana Gastroenterology is 1457332413 and holds a License No. 01033813A (Indiana).

The current practice location address for Southeastern Indiana Gastroenterology is 2630 22Nd St, Columbus, IN and can be reached out via phone at 812-372-8680 and via fax at 812-372-9265.

Location: 2630 22Nd St, Columbus, IN, 47201-3702
institution
Provider Profile Details
NPI Number
1457332413
Provider Name
Southeastern Indiana Gastroenterology
Credential
Provider Entity Type
Organization
Address
2630 22Nd St, Columbus, IN, 47201-3702
Phone Number
812-372-8680
Fax Number
812-372-9265
Provider Enumeration Date
11/08/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
050176P 01 IN SIHO PROVIDER NUMBER
000000317541 01 IN ICHIA PROVIDER NUMBER
000000317541 01 IN ANTHEM
institution
Provider Business Practice Location Address Details
Address
2630 22Nd St
City
State
Zip
47201-3702
Phone Number
812-372-8680
Fax Number
812-372-9265
person
Provider Business Mailing Address Details
Address
2630 22Nd St
City
State
Zip
47201-3702
Phone Number
812-372-8680
Fax Number
812-372-9265
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
01033813A (Indiana)
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.
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