Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | 12010593A | IN |
Y | 213EG0000X | General Practice | 12010593A | IN |
N | 1223P0700X | Prosthodontist | 12010593A | IN |
NPI | 1245411750 |
---|---|
Provider Name | Dr. Eva-Marie Powers |
First Address | Greenfield, IN 46140-9085 |
Second Address | Greenfield, IN 46140-9085 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/11/2007 |
Last Update Date | 21/08/2008 |