Provider Demographics
NPI:1861429169
Name:CHRISTEL VENTURES, INC.
Entity type:Organization
Organization Name:CHRISTEL VENTURES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:CHRISTEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-202-3668
Mailing Address - Street 1:3439 E 86TH ST
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46240-2427
Mailing Address - Country:US
Mailing Address - Phone:317-202-3668
Mailing Address - Fax:317-202-0488
Practice Address - Street 1:3439 E 86TH ST
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46240-2427
Practice Address - Country:US
Practice Address - Phone:317-202-3668
Practice Address - Fax:317-202-0488
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-26
Last Update Date:2008-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN4237060001Medicare ID - Type Unspecified