SearchIndiana1041C0700X

Thomas Bontrager, MSW

NPI 1841315785 · on the registry since 2007 · sole proprietor

Practice

Address
5401 Shelby St
Indianapolis, IN 46227
Phone
(317) 788-4451
Fax
(317) 788-4451
Organisation at this address
Southside Youth Council, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana