Affordable Healthcare of East Central Indiana, Inc.

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

71001195A Issued in IN

Legal business name

AFFORDABLE HEALTHCARE OF EAST CENTRAL INDIANA, INC.

Practice address

7109 N Williamson Rd
Muncie, IN 47303-9510

Phone

(765) 730-0157

Fax

(765) 281-8982

NPI assigned

Aug 7, 2007

Last updated

Oct 1, 2007By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Curtis Oliver Bow Jr., NP

Title

Authorized Signer

Phone

(765) 730-0157

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191196800000",
    "number": "1629269345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7109 N WILLIAMSON RD",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473039510",
            "telephone_number": "765-730-0157",
            "fax_number": "765-281-8982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7109 N WILLIAMSON RD",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473039510",
            "telephone_number": "765-730-0157",
            "fax_number": "765-281-8982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFORDABLE HEALTHCARE OF EAST CENTRAL INDIANA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-07",
        "last_updated": "2007-10-01",
        "status": "A",
        "authorized_official_last_name": "BOW",
        "authorized_official_first_name": "CURTIS",
        "authorized_official_middle_name": "OLIVER",
        "authorized_official_title_or_position": "AUTHORIZED SIGNER",
        "authorized_official_telephone_number": "765-730-0157",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IN",
            "license": "71001195A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Health Nurse Practitioner in Muncie, IN
• Providers in Muncie, IN by specialty
• Adult Health Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.