Cousins, Elliot H

Cousins, Elliot H is an individual health care provider with primary practice located at 8433 Harcourt Rd Suite 100, Indianapolis IN 46260-2190. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Cousins, Elliot H can be contacted via phone (317) 583-7702.

Contact Information

Primary practice address
8433 Harcourt Rd Suite 100 Indianapolis IN 46260-2190
Phone: (317) 583-7702
Fax: (317) 583-7601
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 01035926A Indiana

Profile Details

NPI number 1053356444
LBN Legal business name Cousins, Elliot H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2006
Last updated May 30th, 2008 - about 16 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 1053356444 NPPES
Other 000000083136 BCBS PIN
MEDICAID 100376130A BCBS PIN
Other 60016008 BCBS PIN

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