Illinois/indiana Em-I Medical Services, S.c.

NPI #1659679363 in Washington, Indiana

Provider Information

NPI Number: 1659679363
Entity Type: Organization
Organization Name: Illinois/indiana Em-I Medical Services, S.c.
Primary Specialty: Physician Assistant
Enumeration Date: Mar 3, 2011
Last Updated: Mar 21, 2018

Practice Location

Address: 1314 E WALNUT ST
City: Washington
State: Indiana
ZIP Code: 47501-2860
Phone: (812) 254-2760

Authorized Official

Name: DR. DOUGLAS P WEBSTER, D.O.
Title: OWNER
Phone: (800) 732-1066

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X
Physician Assistant	363A00000X	Primary

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