Board of Trustees of Welborn Clinic
Organization Active NPI Diagnostic Radiology Physician · Rockport, IN
NPI 1124166194 · NPPES record last updated Nov 29, 2007
Key facts
- NPI
- 1124166194
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- Legal business name
- BOARD OF TRUSTEES OF WELBORN CLINIC
- Practice address
- 3434 W State Road 66
Rockport, IN 47635-9259 - Phone
- (812) 649-5061
- NPI assigned
- Feb 2, 2007
- Organization subpart
- No
Authorized official
- Name
- David D Christeson, MD
- Title
- Ceo
- Phone
- (812) 426-9228
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Body Imaging Physician |
2085B0100X | |||
| Diagnostic Radiology Physician |
2085R0202X | Yes |
Addresses
Primary practice location
3434 W State Road 66
Rockport, IN 47635-9259
Mailing address
3434 W State Road 66
Rockport, IN 47635-9259
Phone (812) 649-5061
Other names
- Welborn Clinic IDTF Reo
Other providers in Rockport, IN
- Apollo Medical Group LLC
- Carrie Margaret Arias
- John Phillip Atkinson
- Chrstina M. Beeler
- Board of Trustees of Welborn Clinic
- Bolster Wellness LLC
- Arnold H Braun
- James Michael Braun
- Kaitlin Brummett
- Angela D Bunner
All providers in Rockport, IN · Diagnostic Radiology Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 29, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.