Digby-Berry, Ceola
Digby-Berry, Ceola is an sole proprietor health care provider with primary practice located at 3111 W Jackson St , Muncie IN 47304-4371. She recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as her primary health care specialty. Digby-Berry, Ceola can be contacted via phone (765) 284-0879.Contact Information
Primary practice address
3111 W Jackson St
Muncie IN 47304-4371
Phone: (765) 284-0879
Fax: (765) 284-1480
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Counseling | 103TC1900X | 20040153A | Indiana |
Profile Details
NPI number | 1689787855 |
---|---|
LBN Legal business name | Digby-Berry, Ceola |
Credentials | PHD. HSPP |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 15th, 2006 |
Last updated | May 13th, 2009 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1689787855 | NPPES |
Indiana | Other | 163150000 | MAGELLAN |
Indiana | MEDICAID | 100333710 | MAGELLAN |
Indiana | Other | 000000186182 | MAGELLAN |
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