Aspen Leaf Emergency Physicians, LLC
Organization Active NPI Emergency Medicine Physician · Lafayette, IN
NPI 1619340593 · NPPES record last updated Nov 16, 2015
Key facts
- NPI
- 1619340593
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- Legal business name
- ASPEN LEAF EMERGENCY PHYSICIANS, LLC
- Practice address
- 1701 S Creasy LN
Lafayette, IN 47905-4972 - Phone
- (469) 401-2386
- NPI assigned
- Nov 2, 2015
- Organization subpart
- No
Authorized official
- Name
- Eddie Stone, M.D.
- Title
- Officer
- Phone
- (469) 401-2386
Corporate family (same tax ID) 7
National Provider Directory
- Tax ID family
- Aspen Leaf Emergency Physicians LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician |
207P00000X | Yes | ||
| Physician Assistant |
363A00000X | |||
| Nurse Practitioner |
363L00000X |
Addresses
Primary practice location
1701 S Creasy LN
Lafayette, IN 47905-4972
Mailing address
PO Box 80076
Philadelphia, PA 19101-0076
Phone (469) 401-2386
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All providers in Lafayette, IN · Emergency Medicine 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 16, 2015. 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.