Provider Demographics
NPI:1013031392
Name:FCP INC.
Entity Type:Organization
Organization Name:FCP INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:FRANK
Authorized Official - Last Name:FORSTER
Authorized Official - Suffix:IV
Authorized Official - Credentials:
Authorized Official - Phone:812-446-2833
Mailing Address - Street 1:PO BOX 515
Mailing Address - Street 2:
Mailing Address - City:BRAZIL
Mailing Address - State:IN
Mailing Address - Zip Code:47834-0515
Mailing Address - Country:US
Mailing Address - Phone:812-446-2833
Mailing Address - Fax:812-446-2833
Practice Address - Street 1:11295 N COUNTY ROAD 300 W
Practice Address - Street 2:
Practice Address - City:BRAZIL
Practice Address - State:IN
Practice Address - Zip Code:47834-6902
Practice Address - Country:US
Practice Address - Phone:812-446-2833
Practice Address - Fax:812-446-2833
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN20040890A103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty