Whalio Doctors

NPI 1073164646

Indiana University Health Ball Memorial Hospital, INC.

Organisation Pediatric Rehabilitation Medicine Physician Muncie, IN

Practice location

Address
4870 E Jackson St, Muncie, IN 47303-4432
Phone
(765) 254-9717
Fax
(765) 254-9739
Mailing address
1200 W White River Blvd Attn: Provider Enrollment, Muncie, IN 47303-4988

Authorised official

Name
Jonathan Vanator
Title
Cfo
Phone
(765) 741-2891

Registered specialties (6)

Pediatric Rehabilitation Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2081P0010X
Physical Therapist
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X
Pediatric Physical Therapist
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2251P0200X
Occupational Therapist
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225X00000X
Pediatric Occupational Therapist
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225XP0200X
Speech-Language Pathologist
Speech, Language and Hearing Service Providers Taxonomy 235Z00000X

Registry record

NPI
1073164646
Entity type
Organization
NPI issued
25 Sep 2019
Record last updated
25 Sep 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.