Provider Demographics
NPI:1881857209
Name:SYNERGY MANAGEMENT SERVICES, LLC
Entity Type:Organization
Organization Name:SYNERGY MANAGEMENT SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:K
Authorized Official - Last Name:JORMAN
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:317-858-7215
Mailing Address - Street 1:5865 COURTYARD CRES
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46234-3153
Mailing Address - Country:US
Mailing Address - Phone:317-858-7215
Mailing Address - Fax:317-858-7216
Practice Address - Street 1:5865 COURTYARD CRES
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46234-3153
Practice Address - Country:US
Practice Address - Phone:317-858-7215
Practice Address - Fax:317-858-7216
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-07
Last Update Date:2008-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200376410Medicaid