Provider Demographics
NPI:1831812635
Name:TWO CIRCLE LLC
Entity type:Organization
Organization Name:TWO CIRCLE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOSH
Authorized Official - Middle Name:
Authorized Official - Last Name:CHRENKO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-514-0861
Mailing Address - Street 1:533 S OAKWOOD DR
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:IN
Mailing Address - Zip Code:46142-2049
Mailing Address - Country:US
Mailing Address - Phone:317-514-0861
Mailing Address - Fax:
Practice Address - Street 1:494 S EMERSON AVE STE H2
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:IN
Practice Address - Zip Code:46143-1953
Practice Address - Country:US
Practice Address - Phone:317-514-0861
Practice Address - Fax:888-966-0072
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-26
Last Update Date:2022-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies