Rexroth, Daniel F

Rexroth, Daniel F is an individual health care provider with primary practice located at 355 W 16Th St , Indianapolis IN 46202-2207. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Neurophysiology, Behavioral Health & Social Service Providers / Psychologist. Allopathic & Osteopathic Physicians / Clinical Neurophysiology is his primary health care specialty. Rexroth, Daniel F can be contacted via phone (317) 963-7300.

Contact Information

Primary practice address
355 W 16Th St Indianapolis IN 46202-2207
Phone: (317) 963-7300
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Neurophysiology 2084N0600X 20041914 Indiana
Behavioral Health & Social Service Providers / Psychologist 103T00000X 20041914A Indiana
Allopathic & Osteopathic Physicians / Clinical Neurophysiology 2084N0600X 20041914A Indiana

Profile Details

NPI number 1508803164
LBN Legal business name Rexroth, Daniel F
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2006
Last updated Jan 11th, 2021 - about 5 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 1508803164 NPPES
Indiana MEDICAID 200502960
Indiana Other P00245001

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