Provider Demographics
NPI:1366901696
Name:SIGNAL BUSINESS ADMINISTRATION INC
Entity type:Organization
Organization Name:SIGNAL BUSINESS ADMINISTRATION INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:HAHN
Authorized Official - Middle Name:
Authorized Official - Last Name:MARCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:765-238-1381
Mailing Address - Street 1:PO BOX 17460
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46217-0460
Mailing Address - Country:US
Mailing Address - Phone:765-238-1381
Mailing Address - Fax:
Practice Address - Street 1:135 JORDAN RD
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46217-4003
Practice Address - Country:US
Practice Address - Phone:800-260-6145
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SIGNAL BUSINESS ADMINISTRATION INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-03-16
Last Update Date:2019-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251G00000XAgenciesHospice Care, Community Based
No207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult MedicineGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN201709221215524OtherFAMILY PRACTICE GROUP