Elder, Elyce

Elder, Elyce is an individual health care provider with primary practice located at 602 Sanders St , Indianapolis IN 46203-1853. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Elder, Elyce can be contacted via phone (317) 536-7100.

Contact Information

Primary practice address
602 Sanders St Indianapolis IN 46203-1853
Phone: (317) 536-7100
Fax: (317) 536-7101
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 87000024A Indiana

Profile Details

NPI number 1285992958
LBN Legal business name Elder, Elyce
Credentials MAAT, CADAC IV, LCAC
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2012
Last updated May 1st, 2012 - about 14 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 1285992958 NPPES
Indiana Other 87000024A LCAC
Indiana Other 12313276 LCAC

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