Organization · NPI-2
Anesthesiology Associates, PC
Anesthesiology · Lafayette, IN
NPI number1083719074
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1083719074
- Entity type
- Organization (NPI-2)
- Legal business name
- Anesthesiology Associates, PC
- Organization subpart
- No
- Enumeration date
- Sep 14, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207L00000X | Anesthesiology | – | – | Yes |
Practice location
712 N Earl AveSuite B
Lafayette, IN 47904-2715
Phone 765-447-5329 · Fax 765-448-4368
Mailing address
712 N Earl AveSuite B
Lafayette, IN 47904-2715
Phone 765-447-5329 · Fax 765-448-4368
Authorized official
Kenneth J Bochenek
President
7654475329
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