Individual
DR. THEMEN S. DANIELSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9780 LANTERN RD, SUITE 210, FISHERS, IN 46037-4092
(317) 578-4213
(317) 578-9511
Mailing address
9780 LANTERN RD, SUITE 210, FISHERS, IN 46037-4092
(317) 578-4213
(317) 578-9511
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
01025278A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000383565
ANTHEM
—
01
—
01025278
IN STATE LIC NUMBER
IN
01
—
10781256
CAQH
—
Enumeration date
06/23/2006
Last updated
07/08/2007
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