Healthcare Provider Details

I. General information

NPI: 1023758349
Provider Name (Legal Business Name): CHELSEA M HERBERT DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/01/2022
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

DIVISION OF GASTROENTEROLOGY AND HEPATOLOGY ROTARY BUILDING SUITE 225
INDIANAPOLIS IN
46202
US

IV. Provider business mailing address

DIVISION OF GASTROENTEROLOGY AND HEPATOLOGY ROTARY BUILDING SUITE 225
INDIANAPOLIS IN
46202
US

V. Phone/Fax

Practice location:
  • Phone: 317-278-4427
  • Fax:
Mailing address:
  • Phone: 317-278-4427
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number02008954A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: