Erdman, Carol

Erdman, Carol is an individual health care provider with primary practice located at 615 N Michigan St , South Bend IN 46601-1033. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as her primary health care specialty. Erdman, Carol can be contacted via phone (574) 647-1000.

Contact Information

Primary practice address
615 N Michigan St South Bend IN 46601-1033
Phone: (574) 647-1000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 20042017A Indiana
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 071-006805 Illinois
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 6301013085 Michigan
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 20142017A Indiana

Profile Details

NPI number 1831180710
LBN Legal business name Erdman, Carol
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2005
Last updated Mar 8th, 2016 - about 8 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 1831180710 NPPES
Indiana Other 000000373437 ANTHEM/BLUE CROSS ID

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