Bell, Elisa

Bell, Elisa is an individual health care provider with primary practice located at 403 E Madison St , South Bend IN 46617-2322. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is her primary health care specialty. Bell, Elisa can be contacted via phone (574) 283-1234.

Contact Information

Primary practice address
403 E Madison St South Bend IN 46617-2322
Phone: (574) 283-1234
Fax: (574) 537-2652
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 036084180 Illinois
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 01040902A Indiana

Profile Details

NPI number 1952450223
LBN Legal business name Bell, Elisa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2007
Last updated Aug 16th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952450223 NPPES
Illinois MEDICAID 036084180

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