Individual
TRINA HELDERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1501 HARTFORD ST, LAFAYETTE, IN 47904-2134
(765) 423-6011
(260) 407-8004
Mailing address
3019 W CULLOM AVE # 2, CHICAGO, IL 60618-1309
(317) 407-5105
(260) 407-8004
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
—
—
207P00000X
Emergency Medicine Physician
Primary
01062591A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000489652
ANTHEM
IN
05
—
200832830
—
IN
Enumeration date
08/03/2006
Last updated
03/02/2010
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