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PRINCETON CLINIC LLC NPI 1790021194


NPI Information

NPI: 1790021194
Provider Name: PRINCETON CLINIC LLC
Classification: Surgery - 208600000X
Entity Type: Organization
Address:
121 N HART ST
PRINCETON, IN
ZIP 47670
Phone: (812) 385-5820
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PRINCETON CLINIC LLC is a surgery in Princeton, IN. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. PRINCETON CLINIC LLC NPI is 1790021194. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

121 N HART ST
PRINCETON, IN
ZIP 47670-532
Phone: (812) 385-5820
Fax: (812) 385-5826

The provider's authorized official is Kyle G Johnson .
The authorized official title is President/ceo and has the following contact phone number (812) 385-8306.

The enumeration date for this NPI number is 12/13/2012 and was last updated on 12/13/2012.


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
1363A00000XPhysician AssistantINDIANANo
2208600000XSurgeryINDIANAYes

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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