Provider Demographics
NPI:1881755577
Name:UNION COUNTY AUDITOR
Entity type:Organization
Organization Name:UNION COUNTY AUDITOR
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:A
Authorized Official - Last Name:NESBITT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:765-458-5393
Mailing Address - Street 1:6 W SOUTH ST
Mailing Address - Street 2:SUITE 2
Mailing Address - City:LIBERTY
Mailing Address - State:IN
Mailing Address - Zip Code:47353-1366
Mailing Address - Country:US
Mailing Address - Phone:765-458-5393
Mailing Address - Fax:765-458-5582
Practice Address - Street 1:6 W SOUTH ST STE 2
Practice Address - Street 2:
Practice Address - City:LIBERTY
Practice Address - State:IN
Practice Address - Zip Code:47353-1366
Practice Address - Country:US
Practice Address - Phone:765-458-5393
Practice Address - Fax:765-458-5582
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-13
Last Update Date:2013-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200255640Medicaid
IN200255640Medicaid