Horstman, Jody
Horstman, Jody is an individual health care provider with primary practice located at 697 Pro Med Ln , Carmel IN 46032-5323. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as her primary health care specialty. Horstman, Jody can be contacted via phone (317) 574-1254.Contact Information
Primary practice address
697 Pro Med Ln
Carmel IN 46032-5323
Phone: (317) 574-1254
Fax: (317) 674-0060
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 20040869 | Indiana |
Profile Details
| NPI number | 1477501716 |
|---|---|
| LBN Legal business name | Horstman, Jody |
| Credentials | PSYD, HSPP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 5th, 2006 |
| Last updated | Apr 9th, 2024 - about last year |
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 | 1477501716 | NPPES |
| Indiana | MEDICAID | 100468030 |
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