Modlik, Jerome Elmer

Modlik, Jerome Elmer is an individual health care provider with primary practice located at 8102 Clearvista Pkwy , Indianapolis IN 46256-1661. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Modlik, Jerome Elmer can be contacted via phone (317) 849-8222.

Contact Information

Primary practice address
8102 Clearvista Pkwy Indianapolis IN 46256-1661
Phone: (317) 849-8222
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 20040316A Indiana
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X 20040316A Indiana

Profile Details

NPI number 1174787436
LBN Legal business name Modlik, Jerome Elmer
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2008
Last updated Jul 16th, 2008 - 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

Popular Providers