NPI 1396022778

Dietary Solutions of Indiana, PC

Organisation Early Intervention Provider Agency Fishers, IN

Practice location

Address: 11979 Sloane Muse, Fishers, IN 46037-4158
Phone: (317) 847-4225
Mailing address: PO Box 456, Fishers, IN 46038-0456

Authorised official

Name: Trina L. Eastin
Title: President
Phone: (317) 847-4225

Registered specialties

Early Intervention Provider Agency Primary

Agencies Taxonomy 252Y00000X Licence 37000119A (IN)

Other Early Intervention Provider Agency providers in Indiana →

Registry record

NPI: 1396022778
Entity type: Organization
NPI issued: 13 Nov 2011
Record last updated: 13 Nov 2011

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.