Daxe, Elise D

Daxe, Elise D is an sole proprietor health care provider with primary practice located at 3176 Lancer St , Portage IN 46368-4408. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Daxe, Elise D can be contacted via phone (219) 762-9557.

Contact Information

Primary practice address
3176 Lancer St Portage IN 46368-4408
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 34006342A Indiana

Profile Details

NPI number 1194009035
LBN Legal business name Daxe, Elise D
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 10th, 2011
Last updated Oct 10th, 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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