Innovative Medicine

LBN: Innovative Medicine
Innovative Medicine is an health care organization with primary practice located at 3554 Promenade Pkwy Ste H , Lafayette IN 47909-8418. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Adult Medicine, Allopathic & Osteopathic Physicians / Obesity Medicine, Suppliers / Non-Pharmacy Dispensing Site. Allopathic & Osteopathic Physicians / Addiction Medicine is the primary health care specialty. Innovative Medicine can be contacted via phone (765) 471-1100, or through Snyder, Jacqueline via phone (765) 413-7100.

Contact Information

Primary practice address
3554 Promenade Pkwy Ste H Lafayette IN 47909-8418
Phone: (765) 471-1100
Fax: (765) 471-1009
Website:
Map and Directions
Authorized official contact:
Name: Snyder, Jacqueline
Phone: (765) 413-7100

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X
Allopathic & Osteopathic Physicians / Obesity Medicine 207QB0002X
Suppliers / Non-Pharmacy Dispensing Site 332900000X

Profile Details

NPI number 1417486523
LBN Legal business name Innovative Medicine
DBA Doing business as
Authorized official Snyder, Jacqueline
Entity Organization
Organization subpart 1 No
Enumeration date Jun 12th, 2017
Last updated Apr 18th, 2024 - about 5 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417486523 NPPES
Indiana Other 1720219702 MELISSA GALBRETH LMHC
Indiana Other 1144372863 MELISSA GALBRETH LMHC

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