Organization · Type 2 NPI

Direct Patient Care of Evansville, LLC

Clinic/Center · Evansville, IN

NPI number 1336731330 Active

Practice location

1202 W Buena Vista Rd Ste 102
Evansville, IN 47710-5185

Fax (812) 437-8243

Specialties and licenses

Taxonomy	Code	License
Clinic/Center Primary	261Q00000X	None listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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NPI record

NPI: 1336731330
Entity type: Organization (Type 2)
Issued: Feb 10, 2021
Last updated: Mar 23, 2021
Status: Active

Other names

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Direct Patient Care of Evansville · doing business as
Direct Patient Care of Evansville · doing business as

Authorized official

James E Jenison, MD
Owner
(812) 297-6310

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1336731330

Direct Patient Care of Evansville, LLC's National Provider Identifier is 1336731330, issued on Feb 10, 2021. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Evansville, IN. The record was last updated on Mar 23, 2021.