Directclinic SBC, LLC

Key facts

NPI

1154086841

Entity type

Organization (NPI type 2)

Primary specialty

Primary Care Clinic/Center 261QP2300X

Legal business name

DIRECTCLINIC SBC, LLC

Practice address

300 W Ohio St
Kendallville, IN 46755-2018

Phone

(260) 212-1906

NPI assigned

Nov 8, 2021

Organization subpart

No

Authorized official

Name

Sudhakar Santhana Krishnan

Title

Ceo

Phone

(260) 750-0418

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

• Directclinic SBC, LLC Primary Care Clinic/Center · Fort Wayne, IN · NPI 1336733229
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Theodore Stephen Sauer Jr., M.D. Family Medicine Physician · Kendallville, IN · NPI 1881674703
  NPD

National Provider Directory

Tax ID family

Directclinic (2 organizations share this tax ID)

Locations

Specialties & licenses

Addresses

Other names

• DirectClinic Doing business as

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