Margaret Pendley Eltzroth in Evansville - Addiction (substance Use Disorder)

Margaret Pendley Eltzroth - NPI 1215060694

Margaret Pendley Eltzroth is a Addiction (substance Use Disorder) in Evansville, Indiana. Margaret Pendley Eltzroth practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Margaret Pendley Eltzroth is 1215060694. The last update date is 2007-07-08.

Margaret Pendley Eltzroth's current location address is 1202 W Buena Vista Rd, Evansville, Indiana. You can contact this provider via phone number 8124290399 and fax number 8124290708. The mailing address for Margaret Pendley Eltzroth is 1202 W Buena Vista Rd, Evansville, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Margaret Pendley Eltzroth
Address 1202 W Buena Vista Rd, Evansville, Indiana
Phone Number 8124290399
Fax Number 8124290708
Sole Proprietor Y
Credentials LLC

NPI Number Detail

NPI Number 1215060694
Provider Enumeration Date 2007-03-14
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1202 W Buena Vista Rd
City Evansville
State Indiana (IN)
Post Code 477105185
Phone Number 8124290399
Fax Number 8124290708

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Licence No 34001189A
Definition:
A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
331532 IN ANTHEM

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FAQs about Margaret Pendley Eltzroth

What is the unique 10-digit identification code assigned to Margaret Pendley Eltzroth by the Centers for Medicare & Medicaid Services?

The Margaret Pendley Eltzroth has been issued the NPI (National Provider Identifier) 1215060694, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Margaret Pendley Eltzroth's facilities are geographically located?

The facilities of Margaret Pendley Eltzroth are physically situated at the following location: 1202 W Buena Vista Rd, Evansville, IN, 477105185.

What is Margaret Pendley Eltzroth's specialized field of practice, and what is the corresponding taxonomy classification code?

The Margaret Pendley Eltzroth's area of specialization is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this field of practice is 101Ya0400X.

On what date was the 1215060694 assigned to Margaret Pendley Eltzroth?

The Margaret Pendley Eltzroth was issued its 1215060694 on 2007-03-14, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to Margaret Pendley Eltzroth most recently updated or refreshed?

The details pertaining to the Margaret Pendley Eltzroth, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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