Proteam Tactical Performance

LBN: Proteam Tactical Performance
Proteam Tactical Performance is an health care organization with primary practice located at 8025 Combs Rd , Indianapolis IN 46237-9588. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is the primary health care specialty. Proteam Tactical Performance can be contacted via phone (317) 804-3501, or through Vandever, Joey via phone (317) 892-8180.

Contact Information

Primary practice address
8025 Combs Rd Indianapolis IN 46237-9588
Phone: (317) 804-3501
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Vandever, Joey
Phone: (317) 892-8180

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X

Profile Details

NPI number 1669941514
LBN Legal business name Proteam Tactical Performance
DBA Doing business as
Authorized official Vandever, Joey
Entity Organization
Organization subpart 1 No
Enumeration date Nov 21st, 2018
Last updated Dec 15th, 2020 - about 5 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1669941514 NPPES
Indiana Other 1639497795 NPPES
Indiana Other 1750854873 NPPES
Indiana Other 1366871915 NPPES
Indiana Other 1871916783 NPPES
Indiana Other 1891789418 NPPES
Indiana Other 1396391918 NPPES
Indiana Other 1407295181 NPPES
Indiana Other 1336112135 NPPES
Indiana Other 1417421793 NPPES

Popular Providers