Dehorn, Thomas Adrian

Dehorn, Thomas Adrian is an individual health care provider with primary practice located at 450 Saint John Rd Suite 501, Michigan City IN 46360-7354. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Dehorn, Thomas Adrian can be contacted via phone (219) 873-9828.

Contact Information

Primary practice address
450 Saint John Rd Suite 501 Michigan City IN 46360-7354
Fax: (219) 873-2388
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 39000127A Indiana

Profile Details

NPI number 1700111457
LBN Legal business name Dehorn, Thomas Adrian
Credentials LMHC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2009
Last updated Oct 14th, 2009 - 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 1700111457 NPPES
Indiana MEDICAID 100163580A

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