Kimmel, Edward Joseph

Kimmel, Edward Joseph is an individual health care provider with primary practice located at 480 Eversman Drive , Jasper IN 47547-0769. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Kimmel, Edward Joseph can be contacted via phone (812) 482-3020.

Contact Information

Primary practice address
480 Eversman Drive Jasper IN 47547-0769
Phone: (812) 482-3020
Fax: (812) 482-6409
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 34001093A Indiana

Profile Details

NPI number 1275768244
LBN Legal business name Kimmel, Edward Joseph
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2009
Last updated May 20th, 2009 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1275768244 NPPES
Indiana MEDICAID 100108710A

Popular Providers