Elam, Sandra M
Elam, Sandra M is an sole proprietor health care provider with primary practice located at 4229 Bardstown Rd Ste 207 , Louisville KY 40218-4200. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is her primary health care specialty. Elam, Sandra M can be contacted via phone (502) 451-4701.Contact Information
Primary practice address
4229 Bardstown Rd Ste 207
Louisville KY 40218-4200
Phone: (502) 451-4701
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 15112 | Kentucky |
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 15112 | Kentucky |
Profile Details
| NPI number | 1154471183 |
|---|---|
| LBN Legal business name | Elam, Sandra M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 11th, 2007 |
| Last updated | Sep 3rd, 2021 - about 4 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 | 1154471183 | NPPES |
| Kentucky | MEDICAID | 64151129 |
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