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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952450223 | NPPES |
| Illinois | MEDICAID | 036084180 |
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