Longevity Institute Of Indiana,P.C.

LBN: Longevity Institute Of Indiana,P.C.
Longevity Institute Of Indiana,P.C. is an health care organization with primary practice located at 10291 N Meridian St Suite 300, Indianapolis IN 46290-1076. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Longevity Institute Of Indiana,P.C. can be contacted via phone (317) 574-1677, or through Sumrall, Arthur J via phone (317) 574-1677.

Contact Information

Primary practice address
10291 N Meridian St Suite 300 Indianapolis IN 46290-1076
Phone: (317) 574-1677
Fax: (317) 574-1688
Website:
Map and Directions
Authorized official contact:
Name: Sumrall, Arthur J M.D., M.A.
Phone: (317) 574-1677

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 01021582A Indiana

Profile Details

NPI number 1487842860
LBN Legal business name Longevity Institute Of Indiana,P.C.
DBA Doing business as
Authorized official Sumrall, Arthur J M.D., M.A.
Entity Organization
Organization subpart 1 No
Enumeration date Oct 10th, 2007
Last updated Jul 3rd, 2014 - about 10 years 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 1487842860 NPPES
Indiana Other 000000087198 ANTHEM

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