Provider Demographics
NPI:1972747913
Name:SOUTHERN INDIANA CREDIT CORPORATION
Entity type:Organization
Organization Name:SOUTHERN INDIANA CREDIT CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RAY
Authorized Official - Middle Name:
Authorized Official - Last Name:FRITZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:812-539-2274
Mailing Address - Street 1:62 DOUGHTY RD
Mailing Address - Street 2:SUITE 1B
Mailing Address - City:LAWRENCEBURG
Mailing Address - State:IN
Mailing Address - Zip Code:47025-2950
Mailing Address - Country:US
Mailing Address - Phone:812-539-2274
Mailing Address - Fax:812-539-2275
Practice Address - Street 1:62 DOUGHTY RD
Practice Address - Street 2:SUITE 1B
Practice Address - City:LAWRENCEBURG
Practice Address - State:IN
Practice Address - Zip Code:47025-2950
Practice Address - Country:US
Practice Address - Phone:812-539-2274
Practice Address - Fax:812-539-2275
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-21
Last Update Date:2009-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ININID69693344600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi