Eberth-Teike, Heather Ann

Eberth-Teike, Heather Ann is an individual health care provider with primary practice located at 618 N High School Rd , Indianapolis IN 46214-3684. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Eberth-Teike, Heather Ann can be contacted via phone (317) 381-0355.

Contact Information

Primary practice address
618 N High School Rd Indianapolis IN 46214-3684
Phone: (317) 381-0355
Fax: (317) 381-0356
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 34005203A Indiana

Profile Details

NPI number 1164511937
LBN Legal business name Eberth-Teike, Heather Ann
Credentials MSW
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2006
Last updated May 6th, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164511937 NPPES
Indiana MEDICAID 100177270A
Indiana Other 732461000
Indiana Other 000000337429

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