Ryan, Doris Odell

Ryan, Doris Odell is an individual health care provider with primary practice located at 6655 Us 36 East Cummins Behavioral Health Services, Avon IN 46123. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Ryan, Doris Odell can be contacted via phone (317) 272-3330.

Contact Information

Primary practice address
6655 Us 36 East Cummins Behavioral Health Services Avon IN 46123
Phone: (317) 272-3330
Fax: (317) 272-0807
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 20041969A Indiana

Profile Details

NPI number 1073567889
LBN Legal business name Ryan, Doris Odell
Credentials PH.D., HSPP
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated Sep 19th, 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 1073567889 NPPES
Indiana Other 000000342263 ANTHEM BCBS PROVIDER PIN
Indiana MEDICAID 200305580 ANTHEM BCBS PROVIDER PIN

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