Haskins, Edmund Charles

Haskins, Edmund Charles is an individual health care provider with primary practice located at 9240 N Meridian St Se 320, Indianapolis IN 46260-1880. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as his primary health care specialty. Haskins, Edmund Charles can be contacted via phone (317) 844-1658.

Contact Information

Primary practice address
9240 N Meridian St Se 320 Indianapolis IN 46260-1880
Phone: (317) 844-1658
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 20040177A Indiana

Profile Details

NPI number 1689666141
LBN Legal business name Haskins, Edmund Charles
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2005
Last updated May 21st, 2014 - about 12 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 1689666141 NPPES
Indiana Other P01157050 RR MEDICARE PTAN
Indiana Other 680011626 RR MEDICARE PTAN
Indiana MEDICAID 100376730A RR MEDICARE PTAN

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