Individual
GLEN EHICHEOYA ORIAIFO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
515 BAYOU ST, VINCENNES, IN 47591-1034
(812) 886-6800
(812) 886-6809
Mailing address
1160 E SAINT CLAIR ST, VINCENNES, IN 47591-4853
(812) 885-3106
(812) 885-8499
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
01083103A
IN
2084P0800X
Psychiatry Physician
Primary
01083103A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01083103A
LICENSE
IN
01
—
01083103B
CSR
IN
05
—
300042757
—
IN
Enumeration date
05/03/2016
Last updated
09/25/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us