Mardis, David W

Mardis, David W is an individual health care provider with primary practice located at 1315 Sherwood Dr , Greenfield IN 46140-1141. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Mardis, David W can be contacted via phone (317) 467-0581.

Contact Information

Primary practice address
1315 Sherwood Dr Greenfield IN 46140-1141
Phone: (317) 467-0581
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 39000234A Indiana

Profile Details

NPI number 1598731499
LBN Legal business name Mardis, David W
Credentials LMHC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2006
Last updated Jan 4th, 2017 - about 7 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 1598731499 NPPES
Indiana MEDICAID 100270530A

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