Lilly, Anthony Ezra

Lilly, Anthony Ezra is an sole proprietor health care provider with primary practice located at 753 N State St , North Vernon IN 47265-1044. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Lilly, Anthony Ezra can be contacted via phone (812) 346-7744.

Contact Information

Primary practice address
753 N State St North Vernon IN 47265-1044
Phone: (812) 346-7744
Fax: (812) 346-3815
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 20042033A Indiana

Profile Details

NPI number 1669586517
LBN Legal business name Lilly, Anthony Ezra
Credentials PSY.D., H.S.P.P.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 18th, 2006
Last updated Jul 1st, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1669586517 NPPES
Indiana Other 050571023 FED TAX IDENTIFICATION
Indiana MEDICAID 200805260A FED TAX IDENTIFICATION

Popular Providers