Healthcare Provider Details

I. General information

NPI: 1992185532
Provider Name (Legal Business Name): RACHEL ELIZABETH SIMPSON M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2015
Last Update Date: 06/08/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

545 BARNHILL DR EMERSON HALL 202
INDIANAPOLIS IN
46202-5112
US

IV. Provider business mailing address

545 BARNHILL DR EMERSON HALL 202
INDIANAPOLIS IN
46202-5112
US

V. Phone/Fax

Practice location:
  • Phone: 317-274-4966
  • Fax: 317-274-8769
Mailing address:
  • Phone: 317-274-4699
  • Fax: 317-274-8769

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number11018319A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: