Elam, Sandra M

Elam, Sandra M is an sole proprietor health care provider with primary practice located at 4229 Bardstown Rd Ste 207 , Louisville KY 40218-4200. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is her primary health care specialty. Elam, Sandra M can be contacted via phone (502) 451-4701.

Contact Information

Primary practice address
4229 Bardstown Rd Ste 207 Louisville KY 40218-4200
Phone: (502) 451-4701
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 15112 Kentucky
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 15112 Kentucky

Profile Details

NPI number 1154471183
LBN Legal business name Elam, Sandra M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 11th, 2007
Last updated Sep 3rd, 2021 - about 4 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 1154471183 NPPES
Kentucky MEDICAID 64151129

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