Blachly, Elizabeth A

Blachly, Elizabeth A is an individual health care provider with primary practice located at 7375 W Us Highway 52 , New Palestine IN 46163-8950. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Blachly, Elizabeth A can be contacted via phone (317) 861-4171.

Contact Information

Primary practice address
7375 W Us Highway 52 New Palestine IN 46163-8950
Phone: (317) 861-4171
Fax: (317) 861-5325
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01046880A Indiana

Profile Details

NPI number 1740282201
LBN Legal business name Blachly, Elizabeth A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2005
Last updated Dec 8th, 2010 - about 15 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 1740282201 NPPES
Indiana Other 000000112800 ANTHEM PIN #
Indiana Other 200311740 ANTHEM PIN #
Indiana Other 5259508 ANTHEM PIN #
Indiana Other 80156759 ANTHEM PIN #
Indiana MEDICAID 200156140 ANTHEM PIN #

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