Provider Demographics
NPI:1164737045
Name:INDIANAPOLIS BONE & JOINT CLINIC INC.
Entity Type:Organization
Organization Name:INDIANAPOLIS BONE & JOINT CLINIC INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:
Authorized Official - Last Name:LORBER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:317-923-3632
Mailing Address - Street 1:3750 N MERIDIAN ST
Mailing Address - Street 2:3RD FLOOR
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46208-4375
Mailing Address - Country:US
Mailing Address - Phone:317-923-3632
Mailing Address - Fax:317-923-3636
Practice Address - Street 1:3750 N MERIDIAN ST
Practice Address - Street 2:3RD FLOOR
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46208-4375
Practice Address - Country:US
Practice Address - Phone:317-923-3632
Practice Address - Fax:317-923-3636
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-16
Last Update Date:2010-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01028296A332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN0418280001OtherDME
IN22000000084483OtherBCBS
IN2220000084483OtherBCBS
IN0418280001OtherDME#
IN100061250AMedicaid
IN2220000084483OtherBCBS
INB28276Medicare UPIN
IN075950Medicare Oscar/Certification