Elias, Theresa Ann
Elias, Theresa Ann is an sole proprietor health care provider with primary practice located at 11750 Commercial Dr T-1350, Fishers IN 46038-2903. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Elias, Theresa Ann can be contacted via phone (317) 845-4962.Contact Information
Primary practice address
11750 Commercial Dr T-1350
Fishers IN 46038-2903
Phone: (317) 845-4962
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 26016491A | Indiana |
Profile Details
| NPI number | 1457616328 |
|---|---|
| LBN Legal business name | Elias, Theresa Ann |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 6th, 2012 |
| Last updated | Jul 6th, 2012 - about 12 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 | 1457616328 | NPPES |
| Indiana | MEDICAID | 26016491A |
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