institution
Lakeview Wesleyan Church
Specialist in Marion, Indiana
NPI 1568568947

Lakeview Wesleyan Church is a Specialist based in Marion, IN. Lakeview Wesleyan Church practices in Marion, IN. The NPI Number for Lakeview Wesleyan Church is 1568568947 and holds a License No. (Indiana).

The current practice location address for Lakeview Wesleyan Church is 5230 S Western Ave, Marion, IN and can be reached out via phone at 765-674-2208 and via fax at 765-674-3273.

Location: 5230 S Western Ave, Marion, IN, 46953-5778
institution
Provider Profile Details
NPI Number
1568568947
Provider Name
Lakeview Wesleyan Church
Credential
Provider Entity Type
Organization
Address
5230 S Western Ave, Marion, IN, 46953-5778
Phone Number
765-674-2208
Fax Number
765-674-3273
Provider Enumeration Date
09/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
249441000 01 IN MAGELLAN
351044 01 IN VALUE OPTIONS
467557 01 IN AETNA
100124010B 05 IN
1044124 01 IN CIGNA
000000175674 01 IN BLUE CROSS BLUE SHIELD
100124010A 05 IN
institution
Provider Business Practice Location Address Details
Address
5230 S Western Ave
City
State
Zip
46953-5778
Phone Number
765-674-2208
Fax Number
765-674-3273
person
Provider Business Mailing Address Details
Address
5230 S Western Ave
City
State
Zip
46953-5778
Phone Number
765-674-2208
Fax Number
765-674-3273
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
(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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