Provider Demographics
NPI:1154842896
Name:MAJOR MULTISPECIALTY ASSOCIATES
Entity Type:Organization
Organization Name:MAJOR MULTISPECIALTY ASSOCIATES
Other - Org Name:MHP PODIATRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:HORNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-392-3211
Mailing Address - Street 1:30 W RAMPART ST STE 200
Mailing Address - Street 2:
Mailing Address - City:SHELBYVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46176-5526
Mailing Address - Country:US
Mailing Address - Phone:317-421-2012
Mailing Address - Fax:317-398-1851
Practice Address - Street 1:30 W RAMPART ST STE 180
Practice Address - Street 2:
Practice Address - City:SHELBYVILLE
Practice Address - State:IN
Practice Address - Zip Code:46176-8845
Practice Address - Country:US
Practice Address - Phone:317-392-0003
Practice Address - Fax:317-398-1859
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MAJOR MULTISPECIALITY ASSOCIATES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-07-03
Last Update Date:2020-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Multi-Specialty