Elrod, Diane Elizabeth

Elrod, Diane Elizabeth is an individual health care provider with primary practice located at 3266 N Meridian Street Ste 101, Indianapolis IN 46208-5859. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Geriatric Medicine is her primary health care specialty. Elrod, Diane Elizabeth can be contacted via phone (317) 925-0653.

Contact Information

Primary practice address
3266 N Meridian Street Ste 101 Indianapolis IN 46208-5859
Phone: (317) 925-0653
Fax: (317) 925-0774
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 02001479A Indiana
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 02001479A Indiana
Allopathic & Osteopathic Physicians / General Practice 208D00000X 02001479A Indiana

Profile Details

NPI number 1508044678
LBN Legal business name Elrod, Diane Elizabeth
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2008
Last updated Dec 11th, 2015 - about 11 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 1508044678 NPPES
Indiana MEDICAID 200088580
Indiana Other 380210001

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