Provider Demographics
NPI:1811871759
Name:AFFORDABLE HEALTHCARE OF MUNCIE, LLC
Entity type:Organization
Organization Name:AFFORDABLE HEALTHCARE OF MUNCIE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CURTIS
Authorized Official - Middle Name:O
Authorized Official - Last Name:BOW
Authorized Official - Suffix:JR
Authorized Official - Credentials:NP
Authorized Official - Phone:765-730-0157
Mailing Address - Street 1:7109 N WILLIAMSON RD
Mailing Address - Street 2:
Mailing Address - City:MUNCIE
Mailing Address - State:IN
Mailing Address - Zip Code:47303-9510
Mailing Address - Country:US
Mailing Address - Phone:765-730-0157
Mailing Address - Fax:
Practice Address - Street 1:5091 E JACKSON ST
Practice Address - Street 2:
Practice Address - City:MUNCIE
Practice Address - State:IN
Practice Address - Zip Code:47303-4486
Practice Address - Country:US
Practice Address - Phone:765-468-6337
Practice Address - Fax:765-896-8186
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-04
Last Update Date:2025-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Single Specialty