Organization · Type 2 NPI

Physician Correctional USA (in), LLC

Contractor · Evansville, IN

NPI number 1770422719 Active

Practice location

3500 N Harlan Ave
Evansville, IN 47711-2336

Mailing address

1650 SE 17th St Ste 408
Fort Lauderdale, FL 33316-1740

Specialties and licenses

TaxonomyCodeLicense
Contractor Primary 171W00000XNone listed

Contractor: For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no re…

About NPI 1770422719

Physician Correctional USA (in), LLC's National Provider Identifier is 1770422719, issued on Mar 26, 2026. The primary taxonomy on file is Contractor (171W00000X), and the practice location is in Evansville, IN. The record was last updated on Mar 26, 2026.