Deaconess Clinic, INC.
Otolaryngology in Evansville, IN. Organization (NPI-2).
NPI number1003211244
StatusActive
Last updated in NPPESMar 11, 2021
Details
- NPI
- 1003211244
- Entity type
- Organization (NPI-2)
- Legal business name
- Deaconess Clinic, INC.
- Organization subpart
- No
- Enumeration date
- Oct 30, 2014
- Certification date
- Mar 11, 2021
- Last updated
- Mar 11, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Y00000X | Otolaryngology | – | – | Yes |
| 363A00000X | Physician Assistant | – | – | |
| 363L00000X | Nurse Practitioner | – | – | |
| 231H00000X | Audiologist | – | – |
Other names
- Deaconess Clinic I (Doing Business As)
Practice location
350 W Columbia St Ste 200Evansville, IN 47710-1782
Phone 812-425-2646 · Fax 812-858-4586
Mailing address
Po Box 1510Evansville, IN 47706-1510
Phone 812-450-6815 · Fax 812-450-6822
Authorized official
Cheryl A Wathen
Cfo
8124503296
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