Provider Demographics
NPI:1144999772
Name:TURIENTINE, ANTHONY JR
Entity type:Individual
Prefix:
First Name:ANTHONY
Middle Name:
Last Name:TURIENTINE
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1945 WEST 51ST ST
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46228-2306
Mailing Address - Country:US
Mailing Address - Phone:317-656-0426
Mailing Address - Fax:
Practice Address - Street 1:934 N PENNSYLVANIA ST
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46204-1021
Practice Address - Country:US
Practice Address - Phone:317-656-0426
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-08
Last Update Date:2021-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1744P3200XOther Service ProvidersSpecialistProsthetics Case Management