Lauer, Jill A

Lauer, Jill A is an individual health care provider with primary practice located at 2506 Willowbrook Pkwy Suite 111, Indianapolis IN 46205-1564. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Lauer, Jill A can be contacted via phone (317) 475-7270.

Contact Information

Primary practice address
2506 Willowbrook Pkwy Suite 111 Indianapolis IN 46205-1564
Phone: (317) 475-7270
Fax: (317) 674-0059
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 34004159A Indiana

Profile Details

NPI number 1790787588
LBN Legal business name Lauer, Jill A
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2005
Last updated May 11th, 2011 - about 15 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 1790787588 NPPES
Indiana MEDICAID 100073590

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