Degenhardt, Elisabeth K

Degenhardt, Elisabeth K is an individual health care provider with primary practice located at 5230 E Stop 11 Rd Ste 300 , Indianapolis IN 46237-6401. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Degenhardt, Elisabeth K can be contacted via phone (317) 781-4588.

Contact Information

Primary practice address
5230 E Stop 11 Rd Ste 300 Indianapolis IN 46237-6401
Phone: (317) 781-4588
Fax: (317) 782-4885
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 364SP0808X 70000009C Indiana

Profile Details

NPI number 1508041716
LBN Legal business name Degenhardt, Elisabeth K
Credentials RN, MSN
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 7th, 2008
Last updated Mar 7th, 2023 - about last year

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 1508041716 NPPES
Indiana Other 28089558A RN LICENSE
Indiana MEDICAID 200980490 RN LICENSE

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