DIRECTCLINIC SBC LLC NPI 1336733229

NPI Information

NPI: 1336733229
Provider Name: DIRECTCLINIC SBC, LLC

Doing Business As: DIRECTCLINIC

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
1355 GETZ RD STE C
FORT WAYNE, IN
ZIP 46804
Phone: (260) 212-1900
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DIRECTCLINIC SBC, LLC is a primary care clinic center in Fort Wayne, IN. DIRECTCLINIC SBC, LLC NPI is 1336733229. The provider is registered as an organization entity type.
The provider Is Doing Business As Directclinic.

The provider's business location address is:

1355 GETZ RD STE C
FORT WAYNE, IN
ZIP 46804-609
Phone: (260) 212-1900

The provider's authorized official is Sudhakar Santhana Krishnan .
The authorized official title is Ceo and has the following contact phone number (260) 750-0418.

The enumeration date for this NPI number is 2/22/2021 and was last updated on 11/30/2021.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care			Yes

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

NPI Synchronization or Removal

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