EZ CLINIC INC. NPI 1033607924

NPI Information

NPI: 1033607924
Provider Name: EZ CLINIC INC.
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 15D2221787

Address:
494 S EMERSON AVE STE I
GREENWOOD, IN
ZIP 46143
Phone: (317) 698-2155
Get Directions

EZ CLINIC INC. is a family nurse practitioner in Greenwood, IN. EZ CLINIC INC. NPI is 1033607924. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

494 S EMERSON AVE STE I
GREENWOOD, IN
ZIP 46143
Phone: (317) 698-2155

The provider's authorized official is Edwin Masih .
The authorized official title is President and has the following contact phone number (317) 893-2884.

The CLIA number assigned to this NPI record is 15D2221787 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/25/2018 and was last updated on 6/6/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	71006967	INDIANA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »