| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1902810146 | DALLMAN | TRACY | PO BOX 6069 | INDIANAPOLIS | IN | 462066069 | ||
| 1245497890 | HAYNES | ROSS | RICHARD | PO BOX 6069 DEPT 107 | INDIANAPOLIS | IN | 462066069 | |
| 1174784532 | O'MARA | AMANDA | MICHELE | PO BOX 6069 DEPT 107 | INDIANAPOLIS | IN | 462066069 |