Individual
ELLEN S HORSTMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
720 ESKENAZI AVE, INDIANAPOLIS, IN 46202-5187
(317) 639-6671
(317) 963-5492
Mailing address
720 ESKENAZI AVE, INDIANAPOLIS, IN 46202-5187
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01093892A
IN
208000000X
Pediatrics Physician
8597
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1101444341
ANTHEM PTAN
IN
01
—
200640080
MEDICARE PTAN
IN
05
—
300092060
—
IN
Enumeration date
06/20/2019
Last updated
03/16/2025
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