Provider Demographics
NPI:1326373572
Name:PERKINS, ELIZABETH L (PA)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:L
Last Name:PERKINS
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:1100 SOUTHFIELD DR STE 1370
Mailing Address - Street 2:
Mailing Address - City:PLAINFIELD
Mailing Address - State:IN
Mailing Address - Zip Code:46168-4300
Mailing Address - Country:US
Mailing Address - Phone:317-837-5566
Mailing Address - Fax:317-837-5567
Practice Address - Street 1:1000 E MAIN ST
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:IN
Practice Address - Zip Code:46122-1948
Practice Address - Country:US
Practice Address - Phone:317-745-6139
Practice Address - Fax:317-745-7873
Is Sole Proprietor?:No
Enumeration Date:2009-10-06
Last Update Date:2021-03-31
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Provider Licenses
StateLicense IDTaxonomies
OH50-002947363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical