Ferrell, Lydia H

Ferrell, Lydia H is an sole proprietor health care provider with primary practice located at 6325 S East St , Indianapolis IN 46227-7110. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is her primary health care specialty. Ferrell, Lydia H can be contacted via phone (317) 781-0067.

Contact Information

Primary practice address
6325 S East St Indianapolis IN 46227-7110
Phone: (317) 781-0067
Fax: (317) 791-1242
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 01056802 Indiana
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 01056802A Indiana
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X 01056802A Indiana

Profile Details

NPI number 1760476071
LBN Legal business name Ferrell, Lydia H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 1st, 2005
Last updated Apr 5th, 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 1760476071 NPPES
Indiana Other 000000571185 ANTHEM
Indiana MEDICAID 200526170 ANTHEM

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