EARTHLY ANGELS LLC NPI 1417807421

NPI Information

  • NPI: 1417807421
  • Provider Name: EARTHLY ANGELS LLC
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • Address: 981 E BASE RD
    WINCHESTER, IN
    ZIP 47394
  • Phone: (765) 748-0669

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NPI Details

EARTHLY ANGELS LLC is a general practice in Winchester, IN. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee EARTHLY ANGELS LLC NPI is 1417807421. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

981 E BASE RD
WINCHESTER, IN
ZIP 47394-428
Phone: (765) 748-0669
Fax: (765) 748-0669

The provider's authorized official is Douglas Lanter .
The authorized official title is Owner and has the following contact phone number (765) 748-0669.

The enumeration date for this NPI number is 1/29/2026 and was last updated on 1/29/2026.

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
1208D00000XGeneral PracticeYes

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: 11/21/2025

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