Provider Demographics
NPI:1942410220
Name:ZIONSVILLE OSTEOPATHIC PHSYCIANS INC
Entity Type:Organization
Organization Name:ZIONSVILLE OSTEOPATHIC PHSYCIANS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HERBERT
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:317-575-0522
Mailing Address - Street 1:1180 MEDICAL CT
Mailing Address - Street 2:SUITE A
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46032-2987
Mailing Address - Country:US
Mailing Address - Phone:317-575-0522
Mailing Address - Fax:317-575-0532
Practice Address - Street 1:1180 MEDICAL CT
Practice Address - Street 2:SUITE A
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-2987
Practice Address - Country:US
Practice Address - Phone:317-575-0522
Practice Address - Fax:317-575-0532
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMMGroup - Single Specialty