Provider Demographics
NPI:1063770956
Name:NAPSTARZ
Entity type:Organization
Organization Name:NAPSTARZ
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:M
Authorized Official - Last Name:DICKEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-840-1090
Mailing Address - Street 1:600 E CARMEL DR
Mailing Address - Street 2:SUITE #140
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46032-2803
Mailing Address - Country:US
Mailing Address - Phone:317-840-1090
Mailing Address - Fax:
Practice Address - Street 1:600 E CARMEL DR
Practice Address - Street 2:SUITE #140
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-2803
Practice Address - Country:US
Practice Address - Phone:317-840-1090
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-27
Last Update Date:2012-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172V00000XOther Service ProvidersCommunity Health WorkerGroup - Single Specialty