NPI 1780631812

St Joseph Primary LLC

Organisation Legal Medicine Greentown, IN

Practice location

Address: 712 W Main St, Greentown, IN 46936-1045
Phone: (765) 628-3317
Fax: (765) 457-4443

Authorised official

Name: Andrew Kellar
Title: Regional Practice Administrator
Phone: (765) 457-8381

Registered specialties

Legal Medicine Primary

Other Service Providers Taxonomy 173000000X

Other Legal Medicine providers in Indiana →

Registry record

NPI: 1780631812
Entity type: Organization
NPI issued: 27 May 2006
Record last updated: 16 Nov 2007

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.