Deschamps, Eldi E

Deschamps, Eldi E is an individual health care provider with primary practice located at 8510 Broadway , Merrillville IN 46410-7032. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Deschamps, Eldi E can be contacted via phone (219) 736-2200.

Contact Information

Primary practice address
8510 Broadway Merrillville IN 46410-7032
Fax: (219) 736-2222
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 1026514 Indiana

Profile Details

NPI number 1013913771
LBN Legal business name Deschamps, Eldi E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2005
Last updated Mar 19th, 2010 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1013913771 NPPES
Indiana MEDICAID 200079690

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