Organization
INDY ADHD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEREMIAH ELLINGSWORTH DO (PSYCHIATRIST)
(812) 240-6368
Entity
Organization
Contact information
Practice address
38 W MAIN ST, CARMEL, IN 46032-1764
(317) 939-3681
Mailing address
20078 CHATHAM GREEN DR, WESTFIELD, IN 46074-4370
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
06/28/2023
Last updated
06/28/2023
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