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BOARD OF TRUSTEES OF WELBORN CLINIC NPI 1407994296


NPI Information

NPI: 1407994296
Provider Name: BOARD OF TRUSTEES OF WELBORN CLINIC

Doing Business As: WELBORN CLINIC IDTF ST. MARYS OB GYN

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
3700 WASHINGTON AVE
SUITE 2100B
EVANSVILLE, IN
ZIP 47714
Phone: (812) 426-9450
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BOARD OF TRUSTEES OF WELBORN CLINIC is a diagnostic radiology radiology in Evansville, IN. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. BOARD OF TRUSTEES OF WELBORN CLINIC NPI is 1407994296. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Welborn Clinic Idtf St. Marys Ob Gyn.

The provider's business location address is:

3700 WASHINGTON AVE
SUITE 2100B
EVANSVILLE, IN
ZIP 47714-541
Phone: (812) 426-9450

The provider's authorized official is David D Christeson .
The authorized official title is Ceo and has the following contact phone number (812) 426-6626.

The enumeration date for this NPI number is 2/2/2007 and was last updated on 11/27/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085B0100XRadiologyBody ImagingNo
22085R0202XRadiologyDiagnostic RadiologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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