Lykins, Angela D

Lykins, Angela D is an sole proprietor health care provider with primary practice located at 4221 N Broadway Ave , Muncie IN 47303-1015. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Lykins, Angela D can be contacted via phone (765) 282-1750.

Contact Information

Primary practice address
4221 N Broadway Ave Muncie IN 47303-1015
Phone: (765) 282-1750
Fax: (765) 282-9166
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 20040977 Indiana

Profile Details

NPI number 1689617649
LBN Legal business name Lykins, Angela D
Credentials PHD, HSPP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 14th, 2006
Last updated Sep 17th, 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 1689617649 NPPES
Indiana Other 000000181482 ANTHEM BC/BS
Indiana MEDICAID 200415280 ANTHEM BC/BS
Indiana Other 084197000 ANTHEM BC/BS
Indiana MEDICAID 200081780 ANTHEM BC/BS

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