Provider Demographics
NPI:1114627759
Name:NUVOAIR MEDICAL PC
Entity Type:Organization
Organization Name:NUVOAIR MEDICAL PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:J
Authorized Official - Last Name:HARKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-748-5781
Mailing Address - Street 1:50 MILK ST
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02109-5003
Mailing Address - Country:US
Mailing Address - Phone:303-748-5781
Mailing Address - Fax:
Practice Address - Street 1:7250 CLEARVISTA DR STE 355
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46256-5609
Practice Address - Country:US
Practice Address - Phone:303-748-5781
Practice Address - Fax:888-915-0624
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NUVOAIR MEDICAL PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-03-02
Last Update Date:2023-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty