PREMISE HEALTH OF INDIANA MEDICAL, P.C. is a multi-specialty clinic center in Columbus, IN. PREMISE HEALTH OF INDIANA MEDICAL, P.C. NPI is 1417603879. The provider is registered as an organization entity type.
The provider Is Doing Business As Ctc Health & Wellness Center.
The provider's business location address is:
1900 MCKINLEY AVE # 50060
COLUMBUS, IN
ZIP 47201-414
Phone: (812) 377-4782
Fax: (812) 721-0283
The provider's authorized official is Jon Leizman .
The authorized official title is President and has the following contact phone number (216) 479-9063.
The CLIA number assigned to this NPI record is 15D2255456 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 2/24/2022 and was last updated on 8/25/2022.