Activecare Medical

LBN: Raymond S Nanko Md
Activecare Medical is an health care organization with primary practice located at 919 W Jackson St , Muncie IN 47305-1554. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Pain Medicine, which is considered as the primary health care specialty. Raymond S Nanko Md can be contacted via phone (765) 288-3276, or through Nanko, Raymond S via phone (765) 288-3276.

Contact Information

Primary practice address
919 W Jackson St Muncie IN 47305-1554
Phone: (765) 288-3276
Fax: (765) 289-2389
Website:
Map and Directions
Authorized official contact:
Name: Nanko, Raymond S Doctor of Medicine (MD)
Phone: (765) 288-3276

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 01045371A Indiana

Profile Details

NPI number 1922362334
LBN Legal business name Raymond S Nanko Md
DBA Doing business as Activecare Medical
Authorized official Nanko, Raymond S Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 29th, 2012
Last updated May 29th, 2015 - about 9 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 1922362334 NPPES
Indiana MEDICAID 201163010 A

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